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Individual

ELISE DANIELLE STILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8000
Mailing address
PO BOX 9825, VANCOUVER, WA 98666-8825

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60337375
WA
163WC1500X
Community Health Registered Nurse
RN60337375
WA
171M00000X
Case Manager/Care Coordinator
Primary
RN60337375
WA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101772100
WA
Enumeration date
06/01/2017
Last updated
08/27/2021
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