Individual
NATHANAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-5441
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202989A
IN
163W00000X
Registered Nurse
332898
OH
363L00000X
Nurse Practitioner
3012203
KY
363L00000X
Nurse Practitioner
Primary
APRN.CNP.13515
OH
363LF0000X
Family Nurse Practitioner
71004030A
IN
363LF0000X
Family Nurse Practitioner
COA.13515-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100302330
—
KY
Enumeration date
07/14/2012
Last updated
07/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us