Individual
ANGELA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 HOSPITAL DR, ATHENS, OH 45701-2857
(740) 566-4644
(740) 566-4625
Mailing address
75 HOSPITAL DR, STE 300, ATHENS, OH 45701-2857
(740) 589-7467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.19257-NP
OH
Other
Enumeration date
06/19/2016
Last updated
09/11/2024
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