IndividualActive
Carlie Ellis
NPI 1750933040 · Gerontology Nurse Practitioner · Bremerton, WA
Provider details
- NPI number
- 1750933040
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AP60971061 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2709 Hemlock St
Bremerton, WA 98310-2623
Phone: (360) 373-2547
Fax: (360) 479-8268
Approximate (ZIP-level) locationGet directions
Mailing address
2709 Hemlock St
Bremerton, WA 98310-2623
Additional practice locations (1)
- 325 9th AveSeattle, WA 98104-2420Phone: (206) 520-5000
Registry dates
- Enumerated
- 2019-07-16
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.