Individual
DANIELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5448 GLENRIDGE DR, TOLEDO, OH 43614-1608
(419) 705-6436
Mailing address
5448 GLENRIDGE DR, TOLEDO, OH 43614-1608
(419) 705-6436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
520289
OH
164W00000X
Licensed Practical Nurse
160671
OH
Other
Enumeration date
04/02/2016
Last updated
03/22/2024
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