Individual provider · Type 1 NPI

Carissa Ellis, R.N.

Registered Nurse · Mastic Beach, NY

NPI number 1740632496 Active

Practice location

74 Mill Dr
Mastic Beach, NY 11951-1403

Call (631) 578-5758 Map

Mailing address

PO Box 5582
Bay Shore, NY 11706-0411

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	22 717140 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1740632496

Carissa Ellis, R.N.'s National Provider Identifier is 1740632496, issued on Jul 6, 2016. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Mastic Beach, NY. The record was last updated on Jul 6, 2016.