Individual
DURIYYAH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
130 N 2ND ST UNIT 1A, PHILADELPHIA, PA 19106-4604
(251) 901-3011
Mailing address
130 N 2ND ST UNIT 1A, PHILADELPHIA, PA 19106-4604
(251) 901-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP031365
PA
Other
Enumeration date
11/18/2024
Last updated
12/06/2024
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