Individual provider · Type 1 NPI
Vickie Eileen Ellis, APN/CNP
Obstetrics & Gynecology Nurse Practitioner · Champaign, IL
NPI number
1619102456
Active
Practice location
201 W. Kenyon Rd
Champaign, IL 61820-7892
Fax (217) 531-5378
Mailing address
201 W Kenyon Rd
Champaign, IL 61820-7892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 209002125 (IL) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1619102456
Vickie Eileen Ellis, APN/CNP's National Provider Identifier is 1619102456, issued on May 22, 2009. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Champaign, IL. The record was last updated on Aug 17, 2012.