Provider Demographics
NPI:1326848763
Name:VOICHISHIN, ELIJAH (PMHNP)
Entity type:Individual
Prefix:MR
First Name:ELIJAH
Middle Name:
Last Name:VOICHISHIN
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4564
Mailing Address - Country:US
Mailing Address - Phone:360-609-3486
Mailing Address - Fax:
Practice Address - Street 1:2409 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4564
Practice Address - Country:US
Practice Address - Phone:360-609-3486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61668201363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health