Individual
CYNTHIA R ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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