Individual
LOUISA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1000
Mailing address
1412 GRANADA CT, NEWPORT NEWS, VA 23608-4529
(757) 338-4342
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
0001285902
VA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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