Rita G Ellzey, LPN

Individual provider Active NPI Licensed Practical Nurse · Tell City, IN

NPI 1689313348 · NPPES record last updated Jun 1, 2022

Key facts

NPI
1689313348
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2023710 (KY)
Practice address
1143 23Rd St
Tell City, IN 47586-2562
Phone
(812) 547-2333
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2023710KYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2023710 KY Yes

Addresses

Primary practice location

1143 23Rd St
Tell City, IN 47586-2562

Mailing address

374 Highway 1554
Owensboro, KY 42301-9243
Phone (270) 724-4254

Other providers in Tell City, IN

All providers in Tell City, IN · Licensed Practical Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.