Individual provider · Type 1 NPI

Victoria Nicole Ellis, PA-C

Medical Physician Assistant · Chapmanville, WV

NPI number 1467609149 Active

Practice location

200 Vance St
Chapmanville, WV 25508-9422

Fax (304) 855-0427

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X01166 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1467609149

Victoria Nicole Ellis, PA-C's National Provider Identifier is 1467609149, issued on Aug 25, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chapmanville, WV. The record was last updated on Feb 27, 2013.