Individual
ELVERL FULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
500 OFFICE CENTER DRIVE, SUITE 400, THE ELLISON'S NURSING GROUP, LLC, FORT WASHINGTON, PA 19034
(267) 513-1995
(267) 513-1729
Mailing address
11800 GRANT RD APT 4203, CYPRESS, TX 77429-4038
(346) 308-0542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
989315
TX
164W00000X
Licensed Practical Nurse
Primary
PN303491
PA
Other
Enumeration date
10/26/2016
Last updated
04/28/2020
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