ALISA SUE ELLISON

HINTON, WV
NPI1578806105
Former NameALISA SUE LANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: WV  80451)
Enumeration Date2013-04-02
Last Update Date2024-05-20
Business Address
MRS. ALISA SUE ELLISON FNPC
197 PLEASANT ST
HINTON, WV 25951-2540
Phone number: 304-466-2501
Mailing Address
MRS. ALISA SUE ELLISON FNPC
3547 TRUE RD.
HINTON, WV 25951
Phone number: 304-716-1440
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