Individual
MADISON ELAM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1420 STATE ROUTE 20, SEDRO WOOLLEY, WA 98284-4322
(360) 854-7400
Mailing address
20905 TRAVIS LN, BURLINGTON, WA 98233-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61540985
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN61540985
WA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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