Individual provider · Type 1 NPI
Caroline Ellis
Adult Health Nurse Practitioner · Wynnewood, PA
NPI number
1467045625
Active
Practice location
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Mailing address
3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Other practice locations
- 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 · (610) 402-6550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | SP023078 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP023078 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1467045625
Caroline Ellis's National Provider Identifier is 1467045625, issued on Feb 18, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wynnewood, PA. The record was last updated on Feb 9, 2026.