Individual provider · Type 1 NPI
Bethany Laquell Ellis, FNP
Family Nurse Practitioner · Hallandale Beach, FL
NPI number
1194349308
Active
Practice location
1001 N Federal Hwy Ste 341
Hallandale Beach, FL 33009-2404
Fax (786) 221-3179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11007347 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194349308
Bethany Laquell Ellis, FNP's National Provider Identifier is 1194349308, issued on Jun 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hallandale Beach, FL. The record was last updated on Sep 22, 2021.