Individual provider · Type 1 NPI

Michele Lynn Ellett, CPNP

Pediatric Nurse Practitioner · Richmond, VA

NPI number 1255707139 Active

Practice location

1250 E Marshall St, Dept. Of Neurosurgery
Richmond, VA 23298-5051

Fax (804) 828-4493

Mailing address

PO Box 91734
Richmond, VA 23291-1734

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X0024172824 (VA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1255707139

Michele Lynn Ellett, CPNP's National Provider Identifier is 1255707139, issued on Aug 14, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Richmond, VA. The record was last updated on Mar 3, 2016.