Individual
MS. BEVERLY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
425 E 110TH ST APT 850, NEW YORK, NY 10029-3344
(917) 774-5093
(212) 722-2428
Mailing address
425 E 110TH ST APT 850, NEW YORK, NY 10029-3344
(917) 774-5093
(212) 722-2428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
249133
NY
363LF0000X
Family Nurse Practitioner
Primary
F332344
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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