Individual
ELLEN PROBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9216711
FL
363LA2200X
Adult Health Nurse Practitioner
9216711
FL
Other
Enumeration date
11/18/2011
Last updated
03/30/2015
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