Healthcare Provider Details

I. General information

NPI: 1457368284
Provider Name (Legal Business Name): ELANA J WISHNIE WOLFE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELANA JOAN WISHNIE ARNP

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER 4800 SAND POINT WAY NE, W-7729
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

3023 NE 103RD ST
SEATTLE WA
98125-7716
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2039
  • Fax: 206-987-3925
Mailing address:
  • Phone: 206-352-3964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP30004279
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: