Individual
MS. ELLEN LORRAINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 589-6484
(253) 984-1079
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 584-3577
(253) 584-8916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60786410
WA
Other
Enumeration date
08/16/2017
Last updated
02/12/2020
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