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Individual

ANDREA LORETTA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
919 E 2ND ST, SANFORD, FL 32771
(407) 323-2036
Mailing address
919 E 2ND ST, SANFORD, FL 32771-2101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9401451
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12627
MN

Other

Enumeration date
04/14/2018
Last updated
09/24/2025
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