Individual provider · NPI-1

Ellyett Ahr, FNP-BC

Nurse Practitioner · Daytona Beach, FL

NPI number1750179941
StatusActive
Last updated in NPPESOct 21, 2025

Details

NPI
1750179941
Entity type
Individual (NPI-1)
Name
Ellyett Ahr
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2025
Certification date
Oct 21, 2025
Last updated
Oct 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner11041207FLYes
163W00000X Registered Nurse159180IA

Other names

  • Ellyett Sakas (Former Name)

Practice location

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170

Phone 386-615-0900 · Fax 386-615-0902

Mailing address

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170

Phone 386-615-0900 · Fax 386-615-0902

Other practice locations

3 Pine Cone Dr Ste 106
Palm Coast, FL 32137-8684

Phone 386-585-4463 · Fax 386-585-4482

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