Individual
HALEY MARIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
(605) 882-7819
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
(605) 882-7819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R036298
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001704
SD
Other
Enumeration date
12/27/2019
Last updated
03/04/2020
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