Individual
ELLEN M MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050
(717) 791-2540
(717) 791-2549
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 791-2540
(717) 791-2549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103473515
—
PA
Enumeration date
01/06/2018
Last updated
01/27/2021
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