Individual
STEPHANIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 NORTH ST, HYANNIS, MA 02601-3845
(508) 771-0006
Mailing address
46 NORTH ST, HYANNIS, MA 02601-3845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN232320
MA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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