Individual
MRS. ELLA CHILDS CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
773 RUSS AVE, WAYNESVILLE, NC 28786-2998
(828) 452-2230
Mailing address
773 RUSS AVE, WAYNESVILLE, NC 28786-2998
(828) 452-2230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201836
NC
363LF0000X
Family Nurse Practitioner
Primary
201836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000994
—
NC
Enumeration date
05/19/2006
Last updated
10/13/2012
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