Individual
MRS. KAREN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-3908
Mailing address
105 EQUESTRIAN CT, LYNCHBURG, VA 24503-3867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173883
VA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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