Individual
ELLEN JANE SCHUPAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
2001 E MADISON ST, SEATTLE, WA 98122-2959
(206) 935-5623
Mailing address
PO BOX 3390, SILVERDALE, WA 98383-3390
(360) 434-3607
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30006602
WA
363LW0102X
Women's Health Nurse Practitioner
RN460884-5524
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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