Organization
THE ELLISON NURSING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA NICHOLAS (HR)
(267) 513-1722
Entity
Organization
Contact information
Practice address
500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034
(267) 513-1722
Mailing address
500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN279447
PA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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