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Contact Information

SHARETTA ELLISON, GRADUATE NURSE
2525 E LAKE SHORE DR APT 608
WACO, TX76705-7804
 Phone: 254-732-2712
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for SHARETTA ELLISON · (Female)

NPI Number 1992970305
Status Active
Credentials GRADUATE NURSE
Entity Individual
Enumeration date 04/25/2008
Last updated 04/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 21075973
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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