MARY BETH ELLIS

SIOUX FALLS, SD
NPI1306136098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  CR000759)
Enumeration Date2011-04-14
Last Update Date2011-09-01
Business Address
-- MARY BETH ELLIS CRNA
1325 S CLIFF AVE
SIOUX FALLS, SD 57105-1007
Phone number: 605-322-2754
Mailing Address
-- MARY BETH ELLIS CRNA
PO BOX 5045 ATTN: P.F.S. PROV ENROLL
SIOUX FALLS, SD 57117-5045
Phone number: 605-322-6428
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