Individual
CODY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
410 W 10TH AVE FL 1, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8183
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487
(614) 293-8153
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10010542
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020341
OH
Other
Enumeration date
04/12/2021
Last updated
07/30/2024
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