Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Crystal L Ellsworth, SUDP-T

Individual provider Nurse's Aide · NPI 1588267157

Mrs. Crystal L Ellsworth, SUDP-T is a Nurse's Aide in Colville, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

218 N Oak St Ste B
Colville, WA 99114-2968
Phone: (509) 684-5867
Fax: (509) 684-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO61154536 (WA)
Nurse's Aide Taxonomy 376K00000X · Licence CM60865562 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588267157
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP-T
Sole proprietorNo
NPI enumeratedNovember 17, 2020
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

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