| NPI | 1588856959 |
|---|---|
| Former Name | ANN MICHELLE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R822501) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS R822501) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R822501) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2024-05-08 |