EMILY LAUREN ELLIS

WILKES BARRE, PA
NPI1780299123
Former NameEMILY LAUREN KETTERMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP022466)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: PA  SP022466)
Enumeration Date2020-09-12
Last Update Date2024-06-28
Business Address
EMILY LAUREN ELLIS CRNP
25 CHURCH ST
WILKES BARRE, PA 18702-3507
Phone number: 570-808-3181
Mailing Address
EMILY LAUREN ELLIS CRNP
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144