Individual
CYNTHIA R ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6402
(402) 559-5731
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6402
(402) 559-5731
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
20928
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20928
NE LICENSE
NE
Enumeration date
05/05/2006
Last updated
06/22/2011
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