Individual
ELLEN N/A TERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
4051 VIRGINIA WAY, LAKE OSWEGO, OR 97035-5515
(971) 720-7022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201909052RN
OR
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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