Pamela Renee Ellis, R.N.
Individual provider Active NPI Community Health Registered Nurse · Pawnee, OK
NPI 1174897979 · NPPES record last updated Feb 27, 2012
Key facts
- NPI
- 1174897979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R72803 (OK)
- Practice address
- 1201 Heritage Cir
Pawnee, OK 74058-3744 - Phone
- (918) 762-6724
- Fax
- (918) 762-2729
- NPI assigned
- Feb 27, 2012
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72803 | OK | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R72803 | OK | Yes |
Addresses
Primary practice location
1201 Heritage Cir
Pawnee, OK 74058-3744
Mailing address
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-6724
Other providers in Pawnee, OK
- Jillian Dawes
- Kelly Earl Douglas
- Lynn Dunson
- Melissa Kay Dvorak
- Laura Afton Edens
- Brady Gene Englestead
- Gene H Evans
- Christie Factor
- Gateway Addiction Center LLC
- Gordon P Laird,DO
All providers in Pawnee, OK · Community Health Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2012. 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.