| Doctor Name: | MS. ELLEN L IMSLAND |
| NPI Number: | 1821021478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30007322 |
| Business Practice Address: | 518 E Clay Ave Chewelah, WA - 991098947 |
| Business Phone Number: | 5099358424 |
| Business Fax Number: | 5099358402 |
| Mailing Address: | 518 E Clay Ave, Po Box 198 CHEWELAH |
| State: | WA |
| Postal Code: | 991098947 |
| Phone Number: | 5099358424 |
| Fax Number: | 5099358402 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 11/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | AP30007322 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |