Individual provider · Type 1 NPI
Tara Lynn Ellis, RN
School Registered Nurse · Malone, NY
NPI number
1003325424
Active
Practice location
23 Husky Lane
Malone, NY 12953
Mailing address
530 Porter Rd
Malone, NY 12953-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 591941 (NY) |
School Registered Nurse: Definition to come...
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About NPI 1003325424
Tara Lynn Ellis, RN's National Provider Identifier is 1003325424, issued on Sep 28, 2017. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Malone, NY. The record was last updated on Sep 28, 2017.