Individual
MRS. ASHLY P. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 ASHMUN ST STE 5, SAULT SAINTE MARIE, MI 49783-1972
(906) 632-6013
Mailing address
510 ASHMUN ST. SUITE# 5, SAULT SAINTE MARIE, MI 49783-9385
(906) 362-6013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704260266
MI
363LF0000X
Family Nurse Practitioner
Primary
4704260266
MI
Other
Enumeration date
10/25/2011
Last updated
04/29/2013
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