Individual
SAVANNAH D ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1510 W FRANKLIN ST, EVANSVILLE, IN 47710-1032
(812) 602-0176
Mailing address
361 W MELCHOIR DR S, SANTA CLAUS, IN 47579-6148
(930) 259-0246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27076830A
IN
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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