Individual
MRS. CLAIRE ELLERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 450-0165
Mailing address
6929 W 130TH ST STE 307, PARMA HEIGHTS, OH 44130-7822
(440) 887-1100
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
416083
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7967
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.022357
OH
Other
Enumeration date
07/21/2017
Last updated
07/25/2021
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