Individual
MS. KATHERINE S ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8345
Mailing address
279 VREELAND AVE, MIDLAND PARK, NJ 07432-1661
(201) 931-5939
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ15387600
NJ
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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