Individual
SHANNON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, AGACNP-BC
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60591042
WA
Other
Enumeration date
10/28/2015
Last updated
05/10/2021
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