Individual
BRITTANY LAUREN UNDERWOOD ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 734-8969
(828) 452-8318
Mailing address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 452-8873
(828) 452-8318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730556705
—
NC
Enumeration date
08/26/2015
Last updated
11/22/2022
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