Individual provider · Type 1 NPI
Donna Ellis, OGNP
Obstetrics & Gynecology Nurse Practitioner · Wentworth, NC
NPI number
1275614489
Active
Practice location
371 Nc Hwy 65, Ste 204
Wentworth, NC 27320
Fax (336) 342-8128
Mailing address
PO Box 204
Wentworth, NC 27375-0204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 800002 (NC) |
| Nurse Practitioner | 363L00000X | 800002 (NC) |
| Women's Health Nurse Practitioner | 363LW0102X | 800002 (NC) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1275614489
Donna Ellis, OGNP's National Provider Identifier is 1275614489, issued on Oct 17, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Wentworth, NC. The record was last updated on Nov 25, 2009.