Individual
ELLYSSE BERTUS
Active
Individual
ELLYSSE BERTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024192966
VA
363LF0000X
Family Nurse Practitioner
29756
SC
363LF0000X
Family Nurse Practitioner
4704425584
MI
363LF0000X
Family Nurse Practitioner
5021470
NC
363LF0000X
Family Nurse Practitioner
AC007335
MD
363LF0000X
Family Nurse Practitioner
Primary
APRN11027770
FL
363LF0000X
Family Nurse Practitioner
RN100023833
MA
363LF0000X
Family Nurse Practitioner
SP031914
PA
Other
Enumeration date
08/25/2023
Last updated
12/08/2025
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