Individual provider · Type 1 NPI

Keri J. Ellis, LPN

Licensed Practical Nurse · Vancouver, WA

NPI number 1295893527 Active

Practice location

6926 NE Fourth Plain Blvd
Vancouver, WA 98661

Fax (360) 993-3047

Mailing address

PO Box 1337
Vancouver, WA 98666-1337

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP00057748 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1295893527

Keri J. Ellis, LPN's National Provider Identifier is 1295893527, issued on Dec 6, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.