ANACORITA ELLISOR

MONCKS CORNER, SC
NPI1205257730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  19635)
Enumeration Date2013-12-31
Last Update Date2018-07-24
Business Address
ANACORITA ELLISOR FNP
306 AIRPORT DR
MONCKS CORNER, SC 29461
Phone number: 304-429-1088
Mailing Address
ANACORITA ELLISOR FNP
PO BOX 390
HUNTINGTON, WV 25708-0390
Phone number: 304-429-1088