Individual
CHAUNTELLE NAOMI HAYES ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
7701 GREENBELT RD STE 510, GREENBELT, MD 20770-6526
(301) 220-1200
(301) 474-5590
Mailing address
7701 GREENBELT RD STE 510, GREENBELT, MD 20770-6526
(301) 220-1200
(301) 474-5590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R218545
MD
163WP0200X
Pediatric Registered Nurse
RN1040262
DC
363LP0200X
Pediatric Nurse Practitioner
Primary
R218545
MD
Other
Enumeration date
04/08/2020
Last updated
10/26/2023
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