Individual
DR. KATHERINE PACE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2101 EAST JEFFERSON STREET, ROCKVILLE, MD 20852-4908
(301) 816-6233
(301) 816-6715
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024155067
VA
363L00000X
Nurse Practitioner
Primary
R084555
MD
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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