Mattox, Elizabeth A.
Mattox, Elizabeth A. is an individual health care provider with primary practice located at 1959 Ne Pacific St Campus Box 356123, Seattle WA 98195-0001. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mattox, Elizabeth A. can be contacted via phone (206) 598-4228.Contact Information
Primary practice address
1959 Ne Pacific St Campus Box 356123
Seattle WA 98195-0001
Phone: (206) 598-4228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00134686 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP30005765 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP30005765 | Washington |
Profile Details
| NPI number | 1205854585 |
|---|---|
| LBN Legal business name | Mattox, Elizabeth A. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205854585 | NPPES |
| Washington | Other | 0181054 | LABOR & INDUSTRY |
| Washington | MEDICAID | 9634775 | LABOR & INDUSTRY |
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