Individual provider · Type 1 NPI

Katherine Ellis

Pediatric Nurse Practitioner · Summerville, SC

NPI number 1043706393 Active

Practice location

2016 1st Ave
Summerville, SC 29486-0408

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X22035 (SC)

Pediatric Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1043706393

Katherine Ellis's National Provider Identifier is 1043706393, issued on Jul 10, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Summerville, SC. The record was last updated on Jul 10, 2018.