Hakeem S Ellis, CRNA
Nurse Anesthetist, Certified Registered in Kettering, OH. Individual provider (NPI-1).
NPI number1750786331
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1750786331
- Entity type
- Individual (NPI-1)
- Name
- Hakeem S Ellis
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2014
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.16878 | OH | Yes |
Practice location
3535 Southern BlvdKettering, OH 45429-1221
Phone 937-293-8228 · Fax 937-293-8229
Mailing address
Po Box 932759Cleveland, OH 44193-0015
Phone 937-293-8228 · Fax 937-293-8229
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