| NPI | 1336548619 |
|---|---|
| Former Name | AMBER MICHELLE ELLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9269003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9269003) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9269003) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2024-12-03 |