Ellis, Meredith E

Ellis, Meredith E is an individual health care provider with primary practice located at 23525 Ne Novelty Hill Rd Ste 111 , Redmond WA 98053-1995. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Meredith E can be contacted via phone (206) 320-5190.

Contact Information

Primary practice address
23525 Ne Novelty Hill Rd Ste 111 Redmond WA 98053-1995
Fax: (206) 320-5191
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN61451370 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61453238 Washington

Profile Details

NPI number 1235688573
LBN Legal business name Ellis, Meredith E
Credentials ARNP, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Dec 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235688573 NPPES
Washington MEDICAID 2263308

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