Individual
CATHERINE NICOLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 COMMERCIAL CIRCLE, ALEXANDRIA, KY 41001-2107
(859) 635-9440
(859) 448-2622
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008943
KY
363LF0000X
Family Nurse Practitioner
16513
OH
363LF0000X
Family Nurse Practitioner
3008943
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100321330
—
KY
Enumeration date
09/16/2014
Last updated
08/12/2024
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