Individual
ELLEN TILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22044 CEDAR RD, SONORA, CA 95370
(209) 298-5400
Mailing address
22044 CEDAR RD, SONORA, CA 95370
(209) 298-5400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95034690
CA
363LF0000X
Family Nurse Practitioner
ARNP 3176512
FL
Other
Enumeration date
10/11/2007
Last updated
05/08/2026
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