Individual
ELLEN ELIZABETH ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
235 WELLESLEY ST STE 1, WESTON, MA 02493-1571
(781) 768-7000
Mailing address
12258 S 44TH CT, PHOENIX, AZ 85044-2410
(517) 643-2112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160301
AZ
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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