Individual provider · Type 1 NPI

Alexandra Christine Ellison, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1104257286 Active

Practice location

3601 A St
Philadelphia, PA 19134-1043

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP013363 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104257286

Alexandra Christine Ellison, CRNP's National Provider Identifier is 1104257286, issued on Nov 27, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 7, 2014.