Individual
MS. CAROLYN S. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
2250 HICKORY RD. SUITE 240, PLYMOUTH MEETING,, PA 19462
(610) 834-1122
(610) 834-7525
Mailing address
946 W. MAIN ST., REDKEY, IN 47373
(765) 369-3061
(765) 369-3061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27032165A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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