Individual
BRIANNA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 FOWLER LN, EAST HARTFORD, CT 06118-3025
(860) 281-2461
Mailing address
PO BOX 377, HAYTI, MO 63851-0377
(860) 281-2461
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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