Individual provider · Type 1 NPI
Randall W. Ellis, RN
Emergency Registered Nurse · Salem, NH
NPI number
1073901971
Active
Practice location
2 Keewaydin Dr
Salem, NH 03079-2839
Fax (888) 979-6551
Mailing address
2 Keewaydin Drive
Salem, NH 03079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | RN53627 (ME) |
Emergency Registered Nurse: Definition to come...
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About NPI 1073901971
Randall W. Ellis, RN's National Provider Identifier is 1073901971, issued on Dec 30, 2014. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Salem, NH. The record was last updated on Dec 30, 2014.