Individual
ALISHA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17075 DEVONSHIRE ST STE 204, NORTHRIDGE, CA 91325-5408
(818) 632-3547
Mailing address
3610 GLENRIDGE DR, SHERMAN OAKS, CA 91423-4639
(818) 632-3547
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028315
CA
Other
Enumeration date
07/19/2023
Last updated
02/06/2025
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