Individual
MRS. NANCY ANN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
627 TOWER RD, WYOMING, DE 19934-1553
(302) 492-1456
Mailing address
627 TOWER RD, WYOMING, DE 19934-1553
(302) 492-1456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0005012
DE
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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