Individual
MRS. EMILY LOUISE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3954
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.14070-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075765
—
OH
01
—
COA.14070-NP
LICENSE
OH
Enumeration date
11/12/2012
Last updated
01/12/2021
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