Individual
ELLYN REYNELL AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12100 WARWICK BLVD, SUITE 201, NEWPORT NEWS, VA 23601-2365
(757) 534-5555
(757) 534-5567
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171792
VA
363LG0600X
Gerontology Nurse Practitioner
0024171792
VA
Other
Enumeration date
07/09/2014
Last updated
02/25/2015
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