Individual provider · Type 1 NPI

Keara Ellis

Licensed Practical Nurse · Cleveland, OH

NPI number 1861359366 Active

Practice location

7803 Dearborn Ave
Cleveland, OH 44102-5115

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X181720 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1861359366

Keara Ellis's National Provider Identifier is 1861359366, issued on Jan 6, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on Jan 6, 2026.