Individual
MRS. SUSAN D ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
503 N 21ST STREET, CAMP HILL, PA 17011
(717) 763-2121
Mailing address
1460 HAMBILTONIAN WAY, YORK, PA 17404
(717) 767-6031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
47776AANA
PA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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