Individual
TONI KLATT-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3112
(574) 523-7885
Mailing address
PO BOX 660376, ELKHART GENERAL HOSPITAL INSURANCE PAYMENTS, INDIANAPOLIS, IN 46266-0376
(574) 523-3148
(574) 523-3492
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
70000010A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000725198
ANTHEM
IN
05
—
200258130A
—
IN
Enumeration date
06/16/2005
Last updated
11/21/2011
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