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Contact Information

CHAUNTELLE N ELLIS, CPNP
7701 GREENBELT RD STE 510
GREENBELT, MD20770-6526
 Phone: 301-220-1200
 Fax: 301-474-5590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CHAUNTELLE N ELLIS · (Female)

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
  • DC License # RN1040262
  • MD License # R218545
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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