Individual
DR. AMY ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 DOUGLAS BLVD STE 310, ROSEVILLE, CA 95661-4238
(916) 755-6000
(916) 237-0285
Mailing address
3200 DOUGLAS BLVD STE 310, ROSEVILLE, CA 95661-4238
(916) 755-6000
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
C141678
CA
2084P0800X
Psychiatry Physician
48549
CO
2084P0800X
Psychiatry Physician
C141678
CA
208D00000X
General Practice Physician
Primary
C141678
CA
Other
Enumeration date
06/14/2007
Last updated
05/10/2024
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