Ellyn Reynell Amato, NP
Nurse Practitioner, Acute Care in Newport News, VA. Individual provider (NPI-1).
NPI number1215343470
StatusActive
Last updated in NPPESFeb 25, 2015
Details
- NPI
- 1215343470
- Entity type
- Individual (NPI-1)
- Name
- Ellyn Reynell Amato
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2014
- Last updated
- Feb 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 0024171792 | VA | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 0024171792 | VA |
Other names
- Ellyn Reynell Farrar (Former Name)
Practice location
12100 Warwick BlvdSuite 201
Newport News, VA 23601-2365
Phone 757-534-5555 · Fax 757-534-5567
Mailing address
856 J Clyde Morris BlvdSuite A
Newport News, VA 23601-1318
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