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Individual

PATTI A ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 WHITNEY DR STE 122, MILFORD, OH 45150-8400
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.166532
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.04386
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2200577
OH
Enumeration date
06/08/2006
Last updated
11/12/2024
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