Individual
ELAINE KAREN BYRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
Mailing address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-1962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60431471
WA
363LA2200X
Adult Health Nurse Practitioner
AP60431471
WA
363LG0600X
Gerontology Nurse Practitioner
AP60431471
WA
363LP2300X
Primary Care Nurse Practitioner
AP60431471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336224
L&I HOSPICE
WA
01
—
336226
L&I PALLIATIVE
WA
01
—
G8935978
MEDICARE
WA
Enumeration date
11/26/2013
Last updated
05/07/2015
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