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Individual
ELLEN BERTRAND KING
Active
Individual
ELLEN BERTRAND KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
550551
TX
363L00000X
Nurse Practitioner
AP130256
TX
363LA2200X
Adult Health Nurse Practitioner
AP130256
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
211100
OK
Other
Enumeration date
01/15/2017
Last updated
09/02/2026
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