Individual
NANCY L ELLEFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2002 HOLCOMBE BLVD, SECTION 145, HOUSTON, TX 77030-4211
(713) 794-7661
(713) 794-7674
Mailing address
2002 HOLCOMBE BLVD, SECTION 145, HOUSTON, TX 77030-4211
(713) 794-7661
(713) 794-7674
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
038972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84289U
BCBS
TX
Enumeration date
10/12/2005
Last updated
02/22/2008
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