Organization · Type 2 NPI

Nicholas Ellyn, M.d., P.c.

Specialist · Alexandria, VA

NPI number 1861715435 Active

Practice location

4660 Kenmore Ave, Suite 416
Alexandria, VA 22304-1313

Mailing address

1707 Osage St, Suite 205
Alexandria, VA 22302-2607

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861715435

Nicholas Ellyn, M.d., P.c.'s National Provider Identifier is 1861715435, issued on Mar 10, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Alexandria, VA. The record was last updated on Mar 10, 2010.