Individual provider · Type 1 NPI

Carlie G. Ellis

Gerontology Nurse Practitioner · Bremerton, WA

NPI number 1750933040 Active

Practice location

2709 Hemlock St
Bremerton, WA 98310-2623

Fax (360) 479-8268

Other practice locations

  • 325 9th Ave, Seattle, WA 98104-2420 · (206) 520-5000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP60971061 (WA)
Gerontology Nurse Practitioner Primary 363LG0600XAP60971061 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1750933040

Carlie G. Ellis's National Provider Identifier is 1750933040, issued on Jul 16, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bremerton, WA. The record was last updated on Nov 3, 2020.