Individual
MS. CHARISSA SALLIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 752-4653
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 752-4653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN144548
AZ
163WP0000X
Pain Management Registered Nurse
RN144548
AZ
363LF0000X
Family Nurse Practitioner
Primary
A087662
IA
Other
Enumeration date
04/09/2014
Last updated
05/23/2024
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