| NPI | 1700151560 |
|---|---|
| Professional Name | BEVERLY ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f332344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 249133) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |