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Danielle Ellis, PA-C

Physician Assistant in Waterville, ME. Individual provider (NPI-1).

NPI number1295046597
StatusActive
Last updated in NPPESJul 30, 2024

Details

NPI
1295046597
Entity type
Individual (NPI-1)
Name
Danielle Ellis
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2010
Certification date
Jul 30, 2024
Last updated
Jul 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA001221MEYes

Practice location

31 Front St
Waterville, ME 04901-6626

Phone 207-873-1181 · Fax 207-873-1186

Mailing address

31 Front St
Waterville, ME 04901-6626

Phone 207-942-7650 · Fax 207-990-5586

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