NPI 1083098305 · live from the CMS NPI Registry
Charlotte Ellis
Nurse Practitioner, Pediatrics in Florence, KY. National Provider Identifier 1083098305, active.
NPI record
| NPI | 1083098305 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 7409 Us 42, Florence, KY 41042 |
| Practice phone | 859-525-8181 |
| Enumerated | July 16, 2015 |
| Last updated | July 16, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 3009558 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.