Individual
MR. CHRISTOPHER DOMINICK ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
667 N RIVER ST #201, PLAINS, PA 18705-1870
(570) 823-1111
Mailing address
1160 LANTERN HILL RD, SHAVERTOWN, PA 18708-9590
(570) 606-7972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023586
PA
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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