Individual
MS. ELLEN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC, MS, RD
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5060
Mailing address
250 WEST 100 STREET, APT 719, NEW YORK, NY 10025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX2995
MD
163W00000X
Registered Nurse
661054-1
NY
363LA2200X
Adult Health Nurse Practitioner
306800
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1034391
DC
Other
Enumeration date
10/06/2009
Last updated
08/06/2014
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