TISHA KIM ELLIS

FORT CARSON, CO
NPI1164058723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NE  113116)
Enumeration Date2020-03-16
Last Update Date2023-10-20
Business Address
Mrs. TISHA KIM ELLIS APRN, PMHNP-BC
1650 COCHRANE CIR
FORT CARSON, CO 80913-4613
Phone number: 719-526-0175
Mailing Address
Mrs. TISHA KIM ELLIS APRN, PMHNP-BC
1650 COCHRANE CIR
FORT CARSON, CO 80913-4613
Phone number: 719-526-0175
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