Organization
ELLISON NURSING GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA NICHOLAS (HR)
(267) 513-1722
Entity
Organization
Contact information
Practice address
500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034
(267) 513-1722
Mailing address
500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
PN292293
PA
Other
Enumeration date
02/08/2013
Last updated
02/28/2013
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