Individual provider · Type 1 NPI
Christopher Dominick Ellis, CRNP
Family Nurse Practitioner · Plains, PA
NPI number
1366026361
Active
Practice location
667 N River St #201
Plains, PA 18705-1870
Mailing address
1160 Lantern Hill Rd
Shavertown, PA 18708-9590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP023586 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366026361
Christopher Dominick Ellis, CRNP's National Provider Identifier is 1366026361, issued on May 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Plains, PA. The record was last updated on May 6, 2021.