COLLEEN M ELLIS, FNP-C, Family ONEONTA, NY

Contact Information

COLLEEN M ELLIS, FNP-C

739 STATE ROUTE 28
SUITE 9
ONEONTA, NY 13820

Phone: 607-431-1015
Fax: 607-431-1050
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
General Practice	163WG0000X

Indicates primary specialty

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NPI Profile & details for COLLEEN M ELLIS · (Female)

NPI Number	`1144993478`
Status	Active
Credentials	FNP-C (Family Nurse Practitioner, Certified)
Entity	Individual
Enumeration date	08/02/2021
Last updated	10/04/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	NY License # 348219 NY License # 648053-01
Hospital affiliation(s)	AURELIA OSBORN FOX MEMORIAL HOSPITAL - (Acute Care) ONE NORTON AVENUE ONEONTA, NY 13820 MARY IMOGENE BASSETT HOSPITAL - (Acute Care) ONE ATWELL ROAD COOPERSTOWN, NY 13326

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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