Individual provider · Type 1 NPI
Matthew Ryan Ellis, RN, AG-ACNP
Acute Care Nurse Practitioner · Amarillo, TX
NPI number
1063140820
Active
Practice location
1400 S Coulter St
Amarillo, TX 79106-1786
Mailing address
2223 S Hughes St
Amarillo, TX 79109-2213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1089531 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1063140820
Matthew Ryan Ellis, RN, AG-ACNP's National Provider Identifier is 1063140820, issued on Aug 10, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Amarillo, TX. The record was last updated on Aug 11, 2022.