Individual
EMILY LAUREN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3181
(570) 808-8996
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022466
PA
363LF0000X
Family Nurse Practitioner
SP022466
PA
Other
Enumeration date
09/12/2020
Last updated
06/28/2024
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