Individual
VANESSA ELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
4800 200TH ST SW APT E303, LYNNWOOD, WA 98036-6363
(425) 921-0788
Mailing address
4800 200TH ST SW APT E303, LYNNWOOD, WA 98036-6363
(425) 921-0788
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
61562439
WA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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