Individual
ANDREA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
(803) 226-0343
(803) 226-0584
Mailing address
3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
(803) 226-0343
(803) 226-0584
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
18950
SC
Other
Enumeration date
10/21/2014
Last updated
02/25/2025
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