Individual
NANCY ANN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 S 102ND ST STE 200, TUKWILA, WA 98168-1816
(206) 320-4000
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5717
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28205348A
IN
163W00000X
Registered Nurse
RN74091
ME
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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