Individual
NATHAN JAI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 19TH AVE E, SEATTLE, WA 98112-4072
(235) 226-9755
Mailing address
500 19TH AVE E, SEATTLE, WA 98112-4072
(235) 226-9755
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60226347
WA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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