Individual provider · Type 1 NPI
Elverl Fully, REGISTER NURSE
Licensed Practical Nurse · Fort Washington, PA
Practice location
500 Office Center Drive, Suite 400, The Ellison's Nursing Group, Llc
Fort Washington, PA 19034
Fax (267) 513-1729
Mailing address
11800 Grant Rd Apt 4203
Cypress, TX 77429-4038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 989315 (TX) |
| Licensed Practical Nurse Primary | 164W00000X | PN303491 (PA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1336691245
Elverl Fully, REGISTER NURSE's National Provider Identifier is 1336691245, issued on Oct 26, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Washington, PA. The record was last updated on Apr 28, 2020.