Individual provider · Type 1 NPI

Peggy Ellis

Family Nurse Practitioner · Wentzville, MO

NPI number 1821324591 Active

Practice location

1993 Wentzville Pkwy
Wentzville, MO 63385-3424

Mailing address

161 Washington St, Eight Tower Bridge Suite 1400
Conshohocken, PA 19428-2083

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X054862 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1821324591

Peggy Ellis's National Provider Identifier is 1821324591, issued on Oct 30, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wentzville, MO. The record was last updated on Oct 30, 2009.