Individual
COURTNEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0137232
OK
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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