Individual
SANCIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, ACNP-AG
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
107 EMORY LN, CHELTENHAM, PA 19012-1026
(484) 904-8372
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021122
PA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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