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Individual
MRS. LAURA ELLIS
Active
Individual
MRS. LAURA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 657365
NY
163W00000X
Registered Nurse
26NR17280100
NJ
163W00000X
Registered Nurse
833556
CA
163W00000X
Registered Nurse
RN657785
PA
363LF0000X
Family Nurse Practitioner
Primary
33338633
NY
363LF0000X
Family Nurse Practitioner
95001767
CA
Other
Enumeration date
07/16/2013
Last updated
03/20/2015
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