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Individual
MS. MEREDITH ELLMORE
Active
Individual
MS. MEREDITH ELLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R235357
MD
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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