Individual
ANN ELLIS LYP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3915 W 8TH ST, LITTLE ROCK, AR 72204-2028
(501) 280-3342
(501) 280-3144
Mailing address
2 POYDRAS DR, LITTLE ROCK, AR 72211-2127
(501) 280-3342
(501) 280-3144
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R31695
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
A001073
AR
Other
Enumeration date
07/17/2006
Last updated
06/10/2013
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