Individual
DANIELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 FRONT ST, WATERVILLE, ME 04901-6626
(207) 873-1181
(207) 873-1186
Mailing address
31 FRONT ST, WATERVILLE, ME 04901-6626
(207) 942-7650
(207) 990-5586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001221
ME
Other
Enumeration date
07/01/2010
Last updated
07/30/2024
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