Patricia Ellis, RD
Dietitian, Registered in Bolivia, NC. Individual provider (NPI-1).
NPI number1154584191
StatusActive
Last updated in NPPESJul 9, 2008
Details
- NPI
- 1154584191
- Entity type
- Individual (NPI-1)
- Name
- Patricia Ellis
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2008
- Last updated
- Jul 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 651244 | NC | Yes |
| 133N00000X | Nutritionist | L001598 | NC |
Practice location
25 Courthouse Dr NeBolivia, NC 28422
Phone 888-428-4429 · Fax 910-253-2379
Mailing address
25 Courthouse Dr Ne Po Box 9Bolivia, NC 28422
Phone 888-428-4429 · Fax 910-253-2379
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