Individual
ELLYSSE HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-8000
Mailing address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024186578
VA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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