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Individual
CHAUNTELLE NAOMI HAYES ELLIS
Active
Individual
CHAUNTELLE NAOMI HAYES ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R218545
MD
163WP0200X
Pediatric Registered Nurse
RN1040262
DC
363LP0200X
Pediatric Nurse Practitioner
Primary
R218545
MD
Other
Enumeration date
04/08/2020
Last updated
07/16/2026
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