Individual
DANA MICHELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60156492
WA
363L00000X
Nurse Practitioner
Primary
AP60813690
WA
Other
Enumeration date
01/03/2018
Last updated
01/30/2018
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