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NPI Profile for ANNE C ELLIS in HARRISBURG, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI Number | 1013780758 |
|
| Status | Active | |
| Credentials | BSN RN | |
| Entity | Individual | |
| Enumeration date | 11/03/2023 | |
| Last updated | 11/03/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANNE C ELLIS
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ANNE C ELLIS, BSN RN