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Individual

REBECCA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
5472 MAIN ST STE 101, DEL CITY, OK 73115-5524
(405) 622-3699
(405) 585-0730
Mailing address
3122 WISTER RD, NORMAN, OK 73069-6996
(817) 691-8295

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
214328
OK

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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