Individual
MELANIE RENEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-9311
Mailing address
87-368 KAOHE MAUKA PL, CAPTAIN COOK, HI 96704-8745
(808) 647-4942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11001166
FL
363L00000X
Nurse Practitioner
SP023865
PA
363LF0000X
Family Nurse Practitioner
Primary
4316
HI
Other
Enumeration date
02/07/2019
Last updated
10/04/2024
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