Individual
DR. CAROL A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8726 TOWNHILL DR, SAINT LOUIS, MO 63126-1823
(314) 346-8272
Mailing address
8726 TOWNHILL DR, SAINT LOUIS, MO 63126-1823
(314) 346-8272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2003003574
MO
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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