Individual
MR. NICHOLAS IAN ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MSPA
Contact information
Practice address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 223-7525
(206) 341-0443
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004682
IL
363AS0400X
Surgical Physician Assistant
Primary
PA60731358
WA
Other
Enumeration date
06/11/2013
Last updated
05/11/2017
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