NPI 1790105948 · live from the CMS NPI Registry
Mary Ellis, APRN
Nurse Practitioner, Psych/Mental Health in Valley, NE. National Provider Identifier 1790105948, active.
NPI record
| NPI | 1790105948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 223 E Condron St, Valley, NE 68064 |
| Practice phone | 402-517-7646 |
| Enumerated | April 25, 2014 |
| Last updated | February 4, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 113044 (NE) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 113044 (NE) |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 55813 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.