Individual provider · Type 1 NPI
Haley Marie Ellis, CNP
Family Nurse Practitioner · Watertown, SD
NPI number
1306485172
Active
Practice location
401 9th Ave NW
Watertown, SD 57201-1548
Fax (605) 882-7819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R036298 (SD) |
| Family Nurse Practitioner Primary | 363LF0000X | CP001704 (SD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306485172
Haley Marie Ellis, CNP's National Provider Identifier is 1306485172, issued on Dec 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Watertown, SD. The record was last updated on Mar 4, 2020.