Provider Demographics
NPI:1225420300
Name:ELLAH, NIKKI N (RCMA)
Entity Type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:N
Last Name:ELLAH
Suffix:
Gender:F
Credentials:RCMA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2022
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-2022
Mailing Address - Country:US
Mailing Address - Phone:971-236-4521
Mailing Address - Fax:253-600-3513
Practice Address - Street 1:2550 S MERIDIAN
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-1525
Practice Address - Country:US
Practice Address - Phone:409-363-7438
Practice Address - Fax:253-600-3513
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-25
Last Update Date:2023-09-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy