# ELLEN LY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215539820
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2020115166 | CA | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 01/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2020115166 | AMERICAN NURSES CREDENTIALING CENTER | CA |
| 01 | — | 95016212 | NURSE PRACTITIONER | CA |