Individual
KATHLEEN MARY ELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-7751
Mailing address
8672 COAL HILL RD, LUTHERSBURG, PA 15848-4914
(814) 591-1314
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN265951L
PA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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