Individual
MS. DEBBIE S ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3344071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02553446
—
NY
Enumeration date
01/09/2006
Last updated
01/27/2017
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