Individual
JOSHUA NICHOLAS ELLERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP
Contact information
Practice address
5429 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6513
(910) 792-1001
(910) 792-1004
Mailing address
5429 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6513
(910) 792-1001
(910) 792-1004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010680
NC
363LF0000X
Family Nurse Practitioner
Primary
5010680
ND
Other
Enumeration date
07/11/2018
Last updated
05/22/2019
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