Individual
MS. DONELLE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2119 N DIVISION AVE, YORK, NE 68467-1009
(402) 362-3353
Mailing address
2119 N DIVISION AVE, YORK, NE 68467-1009
(402) 362-3353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50883
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470378994
—
NE
Enumeration date
03/15/2012
Last updated
03/15/2012
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