Amber Ellis, FNP-BC
Nurse Practitioner, Family in Logan, WV. Individual provider (NPI-1).
NPI number1093049983
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1093049983
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amber Ellis
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2009
- Last updated
- Sep 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 61591 | WV | Yes |
Practice location
140 Stollings AveSuite 3
Logan, WV 25601-4035
Phone 304-752-4594
Mailing address
140 Stollings AveSuite 3
Logan, WV 25601-4035
Phone 304-752-4594
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All 31 Family Nurse Practitioner providers in Logan · All 640 providers in Logan
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