Individual
COLLEEN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4923 OGLETOWN STANTON RD STE 200, NEWARK, DE 19713
(302) 225-0451
(302) 225-0470
Mailing address
4923 OGLETOWN STANTON RD STE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0000777
DE
363L00000X
Nurse Practitioner
R153474
MD
Other
Enumeration date
12/12/2014
Last updated
10/14/2019
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