Individual
KARRIE L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105
(860) 236-4511
(860) 231-8449
Mailing address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
(860) 231-8449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001155
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111440
CIGNA
—
Enumeration date
06/20/2006
Last updated
02/13/2012
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