# AMBER ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639889926
- **Gender:** F
- **Credential:** CNA, GNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | 101711 | WV | — |
| 376K00000X | Nurse's Aide | 20058087 | PA | — |
| 376K00000X | Nurse's Aide | A00197146 | MD | Yes |

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 11/29/2022
