Individual
ELLYETT AHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 501, DAYTONA BEACH, FL 32117-5170
(386) 615-0900
(386) 615-0902
Mailing address
305 MEMORIAL MEDICAL PKWY STE 501, DAYTONA BEACH, FL 32117-5170
(386) 615-0900
(386) 615-0902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159180
IA
363L00000X
Nurse Practitioner
Primary
11041207
FL
Other
Enumeration date
04/28/2025
Last updated
10/21/2025
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