Individual
BRIAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2043
(828) 298-7911
Mailing address
27 BLUEBERRY LN, FAIRVIEW, NC 28730-9760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
189652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2319
—
SC
Enumeration date
05/31/2010
Last updated
01/22/2014
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