Individual
CYNTHIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4389 BEAUFORT ROAD, HAVELOCK, NC 28532
(757) 953-3300
Mailing address
4389 BEAUFORT ROAD, HAVELOCK, NC 28532
(252) 466-0486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024187781
VA
367500000X
Certified Registered Nurse Anesthetist
007384
NC
367500000X
Certified Registered Nurse Anesthetist
214496
OK
Other
Enumeration date
07/27/2023
Last updated
05/07/2026
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