Nancy Ann Ellis, LPN
Individual provider Active NPI Licensed Practical Nurse · Wyoming, DE
NPI 1114145703 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114145703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0005012 (DE)
- Practice address
- 627 Tower Rd
Wyoming, DE 19934-1553 - Phone
- (302) 492-1456
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005012 | DE | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0005012 | DE | Yes |
Addresses
Primary practice location
627 Tower Rd
Wyoming, DE 19934-1553
Mailing address
627 Tower Rd
Wyoming, DE 19934-1553
Phone (302) 492-1456
Other providers in Wyoming, DE
- Christina Dushae Boyer
- Morgan Brown
- Janet Butler
- Rochelle L Cain-Mason
- Kelly A Connell
- Erin Engle
- Candice Corinne Fifer
- Robin Gardiner
- Debora Hall
- Tinaya Hargrove
All providers in Wyoming, DE · Licensed Practical Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.