Pearl Ellis
Registered Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).
NPI number1003017328
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003017328
- Entity type
- Individual (NPI-1)
- Name
- Pearl Ellis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 28162156A | IN | Yes |
Practice location
2250 Hickory RdSuite 240
Plymouth Meeting, PA 19462-1047
Phone 610-834-1122
Mailing address
5225 W 36th CtIndianapolis, IN 46224-1409
Phone 317-280-8138
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