Individual
GRETTA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 NIGHTINGALE LN STE B, TAVARES, FL 32778-4322
(352) 508-5419
(352) 609-2519
Mailing address
1865 NIGHTINGALE LN, TAVARES, FL 32778-4360
(352) 457-1936
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
APRN9327255
FL
363L00000X
Nurse Practitioner
Primary
APRN9327255
FL
363LF0000X
Family Nurse Practitioner
9327255
FL
Other
Enumeration date
10/08/2018
Last updated
08/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us