NPI Profile for CHAUNTELLE N ELLIS in GREENBELT, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1154950301 |
|
| Status | Active | |
| Credentials | CPNP (Certified Pediatric Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/08/2020 | |
| Last updated | 10/26/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHAUNTELLE N ELLIS
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