Individual
MICAH ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 NISQUALLY ST, STEILACOOM, WA 98388-2509
(951) 531-5572
Mailing address
1607 NISQUALLY ST, STEILACOOM, WA 98388-2509
(951) 531-5572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
265612
AZ
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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