Individual
EMELIA NEVADA MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NREMT
Contact information
Practice address
18712 71ST AVE NE, KENMORE, WA 98028-2614
(206) 919-3163
Mailing address
18712 71ST AVE NE, KENMORE, WA 98028
(206) 919-3163
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
E4034128
WA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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