Individual
NICHOLAS MCLEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIV OF MARYLAND MEDICAL CTR, 22 S GREENE ST, BALTIMORE, MD 21201
(410) 328-8667
Mailing address
4174 HOOPER RD, NEW WINDSOR, MD 21776
(831) 241-1458
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
244221
MD
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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