Ellis, Shannon

Ellis, Shannon is an individual health care provider with primary practice located at 2930 Maple St , Everett WA 98201-3832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ellis, Shannon can be contacted via phone (425) 261-1500.

Contact Information

Primary practice address
2930 Maple St Everett WA 98201-3832
Phone: (425) 261-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP60591042 Washington

Profile Details

NPI number 1710359849
LBN Legal business name Ellis, Shannon
Credentials ARNP, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated May 10th, 2021 - about 5 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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