Individual
GAIL M ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
93 LITTLE GLORIETTA, CLOUDCROFT, NM 88317-8831
(575) 682-3309
(575) 682-3649
Mailing address
PO BOX 13, CLOUDCROFT, NM 88317-0013
(575) 682-3309
(575) 682-3649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00679
NM
Other
Enumeration date
07/22/2006
Last updated
10/14/2019
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