Individual
PAMELA RENEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6724
(918) 762-2729
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6724
(918) 762-2729
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R72803
OK
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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