Provider Demographics
NPI:1679865877
Name:EHRLICH, GILLIAN (DNP, IFMCP)
Entity type:Individual
Prefix:MS
First Name:GILLIAN
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:DNP, IFMCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 1/2 MINOR AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3308
Mailing Address - Country:US
Mailing Address - Phone:360-531-0250
Mailing Address - Fax:
Practice Address - Street 1:1818 WESTLAKE AVE N STE 424
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2707
Practice Address - Country:US
Practice Address - Phone:206-379-1213
Practice Address - Fax:206-492-2003
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60192191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily