Individual
AMBER ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, GNA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
101711
WV
376K00000X
Nurse's Aide
20058087
PA
376K00000X
Nurse's Aide
Primary
A00197146
MD
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
Update your record
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