Individual
BRENDIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
2714 2ND AVE STE A, KEARNEY, NE 68847-4437
(308) 236-7016
(308) 236-7027
Mailing address
2714 2ND AVE STE A, KEARNEY, NE 68847-4437
(308) 236-7016
(308) 236-7027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110656
NE
Other
Enumeration date
11/22/2005
Last updated
03/07/2011
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