Individual
ELLEN S REISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 KUHL AVE # MP161, ORLANDO, FL 32806-2008
(321) 843-5589
Mailing address
9400 TURKEY LAKE RD # MP453, ORLANDO, FL 32819-8001
(321) 843-5589
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
APRN2959412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2959412
NURSING LICENSE
FL
Enumeration date
05/21/2019
Last updated
05/21/2019
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