Individual
KATLYN ALEXANDER ELLYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
11803 NE 124TH AVE APT 38, VANCOUVER, WA 98682-2095
(360) 450-8700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61059962
WA
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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