Individual provider · Type 1 NPI

Amy L. Ellsworth, PAC

Medical Physician Assistant · Seattle, WA

NPI number 1487908786 Active

Practice location

1100 9th Ave
Seattle, WA 98101-2756

Other practice locations

  • 700 Ironwood Avenue, Suite 334, Coeur D'alene, ID 83814 · (509) 838-2531
  • 1919 Lincoln Way Ste 110, Coeur D Alene, ID 83814-2527 · (208) 625-4515

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-1022 (ID)
Medical Physician Assistant Primary 363AM0700XPA61202127 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1487908786

Amy L. Ellsworth, PAC's National Provider Identifier is 1487908786, issued on Nov 8, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seattle, WA. The record was last updated on May 12, 2022.