Individual
DEBORAH A ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15820 BRIARCLIFF LN, FORT MYERS, FL 33912-4221
(239) 313-9304
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN2131572
FL
367500000X
Certified Registered Nurse Anesthetist
RN284157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308119200
—
FL
01
—
AE291Z
MEDICARE
FL
01
—
G4196
BSFL
FL
Enumeration date
11/01/2006
Last updated
09/03/2025
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