Individual
SYLVIA YVONNE ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-1734
(505) 272-6308
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2004-0048
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30629365
—
NM
Enumeration date
01/09/2006
Last updated
05/09/2024
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