Ann Elizabeth Ellison, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Alpine, TX
NPI 1821378282 · NPPES record last updated Oct 27, 2014
Key facts
- NPI
- 1821378282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 707133 (TX)
- Practice address
- 2600 N Highway 118
Alpine, TX 79830-2002 - Phone
- (432) 837-0430
- Fax
- (432) 837-0249
- NPI assigned
- Aug 17, 2011
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707133 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- aeelliso@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 707133 | TX | Yes |
Addresses
Primary practice location
2600 N Highway 118
Alpine, TX 79830-2002
Mailing address
2600 N Highway 118
Alpine, TX 79830-2002
Phone (432) 837-0430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP120722 | Other | TX | FNP LICENSE |
| LICENSE | Other | TX | 707133 |
Other providers in Alpine, TX
- David W Sanchez
- Dominyemed Corporation
- Josephine Dosier
- Kathryn M Duncan
- Ronald Dale Dyda
- Deborah Lynn Else
- Jerry Len Eoff
- Ekta Escovar
- Raphael Moreno Escovar
- Robert A. Fast
All providers in Alpine, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2014. 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.