Individual
ELISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6025 VASSAR AVE NE, SEATTLE, WA 98115-7622
(206) 595-5402
Mailing address
6025 VASSAR AVE NE, SEATTLE, WA 98115-7622
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP 60419024
WA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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