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ANACORITA ELLISOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
306 AIRPORT DR, MONCKS CORNER, SC 29461
(304) 429-1088
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 429-3109

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19635
SC

Other

Enumeration date
12/31/2013
Last updated
07/24/2018
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