Individual
MISTY ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204-2963
(704) 355-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004035
NC
Other
Enumeration date
09/13/2007
Last updated
09/27/2021
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