Individual
CHANDRA LEIGH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2511
Mailing address
450 W MEDICAL CENTER BLVD STE 600, WEBSTER, TX 77598-4233
(281) 526-6384
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141476
TX
Other
Enumeration date
05/10/2019
Last updated
01/04/2022
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