Individual
CHARLOTTE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7409 US 42, FLORENCE, KY 41042-1905
(859) 525-8181
(859) 525-8289
Mailing address
7409 US 42, FLORENCE, KY 41042-1905
(859) 525-8181
(859) 525-8289
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3009558
KY
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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