Organization · Type 2 NPI
K Ellis PA
Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
NPI number
1124885348
Active
Practice location
1209 Mountain Road Pl NE # 4953
Albuquerque, NM 87110-7845
Fax (505) 546-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124885348
K Ellis PA's National Provider Identifier is 1124885348, issued on Mar 4, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 10, 2024.