Individual
MS. SUNDIE WRIGHT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP
Contact information
Practice address
10717 LIPAN TRL, FORT WORTH, TX 76108-6924
(817) 244-1592
Mailing address
10717 LIPAN TRL, FORT WORTH, TX 76108-6924
(817) 244-1592
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
667088
TX
Other
Enumeration date
06/02/2005
Last updated
07/08/2007
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