Individual
MS. ELLEN L IMSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
518 E CLAY AVE, CHEWELAH, WA 99109-8947
(509) 935-8424
(509) 935-8402
Mailing address
518 E CLAY AVE, PO BOX 198, CHEWELAH, WA 99109-8947
(509) 935-8424
(509) 935-8402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007322
WA
363LP2300X
Primary Care Nurse Practitioner
AP30007322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210113
LABOR & INDUSTRIES ID NO.
WA
01
—
CE9078
RAILROAD MEDICARE
WA
Enumeration date
07/08/2006
Last updated
11/03/2008
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