Individual provider · Type 1 NPI
Earnestine Ellis, APN
Obstetrics & Gynecology Nurse Practitioner · Las Vegas, NV
NPI number
1992778476
Active
Practice location
7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287
Fax (702) 750-3725
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | APN00065 (NV) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1992778476
Earnestine Ellis, APN's National Provider Identifier is 1992778476, issued on Feb 7, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 14, 2014.