Individual provider · Type 1 NPI
Shanna Ellis, RN
Medical-Surgical Registered Nurse · Louisville, KY
NPI number
1770171522
Active
Practice location
5405 Rural Way
Louisville, KY 40218-4247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 1119268 (KY) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1770171522
Shanna Ellis, RN's National Provider Identifier is 1770171522, issued on Jan 7, 2021. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Louisville, KY. The record was last updated on Jan 7, 2021.