Individual
MS. MEGAN DANIELLE ELLIS
Active
Individual
MS. MEGAN DANIELLE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP49976
MD
251J00000X
Nursing Care Agency
Primary
LP49976
MD
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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