| NPI | 1568070654 |
|---|---|
| Other Name | MANDY ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 158829) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AK 158829) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 158829) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2025-11-21 |