Individual
MS. ERICA ELAIN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1350 SE MAYNARD RD, CARY, NC 27511-3634
(919) 651-0820
Mailing address
228 LONE STAR WAY, CARY, NC 27519-8775
(919) 672-8803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004577
NC
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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