Individual
ANN ELIZABETH ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2600 N HIGHWAY 118, ALPINE, TX 79830-2002
(432) 837-0430
(432) 837-0249
Mailing address
2600 N HIGHWAY 118, ALPINE, TX 79830-2002
(432) 837-0430
(432) 837-0249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
707133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP120722
FNP LICENSE
TX
01
—
LICENSE
707133
TX
Enumeration date
08/17/2011
Last updated
10/27/2014
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