Individual provider · Type 1 NPI

Ellen Ursino, PA-C

Medical Physician Assistant · Auburn, WA

NPI number 1104884634 Active

Practice location

202 N Division St
Auburn, WA 98001-4939

Call (253) 833-7711 Map

Mailing address

25506 122nd Pl SE
Kent, WA 98030-5643

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10003985 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1104884634

Ellen Ursino, PA-C's National Provider Identifier is 1104884634, issued on May 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Auburn, WA. The record was last updated on Apr 14, 2015.