Individual
ELYSE BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9951 MICKELBERRY RD NW STE 101, SILVERDALE, WA 98383-8309
(360) 475-3729
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61595532
WA
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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