Provider Demographics
NPI:1811297401
Name:ELY, KAREN C (FNP, ARNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:ELY
Suffix:
Gender:F
Credentials:FNP, ARNP
Other - Prefix:
Other - First Name:KC
Other - Middle Name:
Other - Last Name:ELY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP ARNP
Mailing Address - Street 1:780 HAROLD RD
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-8688
Mailing Address - Country:US
Mailing Address - Phone:509-856-7589
Mailing Address - Fax:509-962-1054
Practice Address - Street 1:700 E MOUNTAIN VIEW AVE STE 503
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-4802
Practice Address - Country:US
Practice Address - Phone:509-856-7589
Practice Address - Fax:509-962-1054
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN000144555163WE0003X
WAAP60196761363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care