Individual
MS. ARDYTHE K ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNM
Contact information
Practice address
1050 W PERIMETER RD, ANDREWS AIR FORCE BASE, MD 20762-6601
(240) 857-5379
Mailing address
612 BRYAN POINT RD, ACCOKEEK, MD 20607-9602
(240) 857-5379
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
36610
WV
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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