Individual
ELLEN ELIZABETH BRUCHMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC
Contact information
Practice address
4800 SAND POINT WAY NE, M/S FA.2.114, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4800 SAND POINT WAY NE, M/S FA.2.114, SEATTLE, WA 98105-3901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60755654
WA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP60755724
WA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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