Individual
HOLLY MARIE ELLIS-PONOMAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PMHNP-BC
Contact information
Practice address
6509 S SANTA FE DR, LITTLETON, CO 80120-2910
(303) 730-8858
Mailing address
700 POTOMAC ST, AURORA, CO 80011-6844
(303) 360-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
992603
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
992603
CO
Other
Enumeration date
06/24/2016
Last updated
03/17/2020
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