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Individual
VANESSA ELLIS
Active
Individual
VANESSA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
467833
OH
164W00000X
Licensed Practical Nurse
Primary
125813
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910863
—
OH
Enumeration date
10/03/2018
Last updated
07/02/2026
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