Individual provider · Type 1 NPI

Katherine Pace Ellis, CRNP

Nurse Practitioner · Rockville, MD

NPI number 1467512921 Active

Practice location

2101 East Jefferson Street
Rockville, MD 20852-4908

Fax (301) 816-6715

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR084555 (MD)
Nurse Practitioner 363L00000X0024155067 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467512921

Katherine Pace Ellis, CRNP's National Provider Identifier is 1467512921, issued on Dec 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockville, MD. The record was last updated on Jul 8, 2007.