NPI Profile for EMILY ELLIS in ORLANDO, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1487056842 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 09/17/2014 | |
| Last updated | 07/22/2025 - About 11 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EMILY ELLIS
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