NPI 1992778476 · live from the CMS NPI Registry
Earnestine Ellis, APN
Nurse Practitioner, Obstetrics & Gynecology in Las Vegas, NV. National Provider Identifier 1992778476, active.
NPI record
| NPI | 1992778476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149 |
| Practice phone | 702-750-3900 |
| Mailing address | Po Box 15645, Las Vegas, NV 89114 |
| Enumerated | February 7, 2006 |
| Last updated | February 14, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | APN00065 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.