SUSAN ELLIS

MUSCATINE, IA
NPI1871631796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IA  C-079193)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- SUSAN ELLIS PNP
1609 CEDAR ST
MUSCATINE, IA 52761-3426
Phone number: 563-263-0122
Mailing Address
-- SUSAN ELLIS PNP
2048 MISSISSIPPI VIEW DR
MUSCATINE, IA 52761-8326
Phone number: 563-264-1990
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