Individual provider · Type 1 NPI
Summerlyn Ellis
Family Nurse Practitioner · Redmond, OR
NPI number
1689439341
Active
Practice location
1020 SW Indian Ave
Redmond, OR 97756-3037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10022072 (OR) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1689439341
Summerlyn Ellis's National Provider Identifier is 1689439341, issued on Feb 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redmond, OR. The record was last updated on Feb 20, 2024.