Individual
ROXANN T. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NE HIS #440 / BC-HIS
Contact information
Practice address
721 WEST 7TH STREET, GRAND ISLAND, NE 68801-4221
(308) 382-9169
(308) 382-5088
Mailing address
721 WEST 7TH STREET, GRAND ISLAND, NE 68801-4221
(308) 382-9169
(308) 382-5088
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
#440
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470730631-00
—
NE
Enumeration date
04/30/2009
Last updated
04/30/2009
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