# THE ELLISON NURSING GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629316567
- **Authorized official:** VALENCIA NICHOLAS (HR)
- **Authorized official phone:** (267) 513-1722

## Contact information

- **Practice address:** 500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034
- **Practice address phone:** (267) 513-1722
- **Mailing address:** 500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | PN279447 | PA | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/28/2013