Individual
JANICE K ELLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-1221
(910) 295-0512
Mailing address
PO BOX 1938, SOUTHERN PINES, NC 28388-1938
(910) 295-1221
(910) 295-0512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119860
NC
Other
Enumeration date
03/01/2007
Last updated
07/16/2008
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