Individual provider · Type 1 NPI
Ellen Ray
Pediatric Nurse Practitioner · Cottleville, MO
NPI number
1932880333
Active
Practice location
4525 Mid Rivers Mall Dr Ste 10
Cottleville, MO 63376-2820
Mailing address
PO Box 776084
Chicago, IL 60677-6442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 2005005840 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2023033858 (MO) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Cottleville
About NPI 1932880333
Ellen Ray's National Provider Identifier is 1932880333, issued on Jul 27, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cottleville, MO. The record was last updated on Aug 31, 2023.