-- CHARLOTTE ELLIS --
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1083098305- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7409 US 42, FLORENCE, KY, 410421905
- Phone
- (859) 525-8181
- Fax
- (859) 525-8289
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: KY #3009558