Individual
DEBORAH LYNN NELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2430 WAGER RD, ERIE, PA 16509-4154
(814) 825-6681
(814) 455-9440
Mailing address
2430 WAGER RD, ERIE, PA 16509-4154
(814) 825-6681
(814) 455-9440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN275562L
PA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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