Individual
ANNA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6536 S MCCARRAN BLVD STE B, RENO, NV 89509-6152
(775) 982-8255
(775) 982-8251
Mailing address
640 W MOANA LN, RENO, NV 89509-4903
(775) 324-0699
(775) 323-6814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001795
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12784979
CAQH #
NV
01
—
APRN001795
STATE LICENSE
NV
Enumeration date
12/21/2014
Last updated
01/10/2022
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