Individual provider · Type 1 NPI

Kimberly Elizabeth Ellison, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1700804804 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4206

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	SP007021B (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1700804804

Kimberly Elizabeth Ellison, CRNP's National Provider Identifier is 1700804804, issued on Jul 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 23, 2013.