Individual
CHARLOTTE GAYE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
712 S MAY ST, MADISONVILLE, TX 77864-2564
(936) 348-3418
Mailing address
2900 OLD HOUSTON RD, HUNTSVILLE, TX 77340-6508
(832) 316-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022140613
TX
Other
Enumeration date
03/23/2023
Last updated
01/02/2025
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