Christine M Ellis is a Family in Saint Louis, Missouri. Christine M Ellis practices all healthcare services and medical treatments related to Family. The NPI Number for Christine M Ellis is 1710905138. The last update date is 2021-11-15.
Christine M Ellis's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3143629123 and fax number 3147473338. The mailing address for Christine M Ellis is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine M Ellis |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 3143629123 |
| Fax Number | 3147473338 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1710905138 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 3143629123 |
| Fax Number | 3147473338 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 103938 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 428999809 | MO | -- |
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What is the unique 10-digit identifier code issued to Christine M Ellis by the Centers for Medicare & Medicaid Services?
The Christine M Ellis has been assigned the NPI (National Provider Identifier) 1710905138 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Christine M Ellis's physical address?
The Christine M Ellis is physically located at 660 S Euclid Ave, in the city of Saint Louis, MO, with the postal code 631101010.
What is Christine M Ellis's area of expertise and its corresponding taxonomy classification?
The Christine M Ellis's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Christine M Ellis receive its 1710905138 assignment from the Centers for Medicare & Medicaid Services?
The Christine M Ellis was assigned its 1710905138 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details pertaining to Christine M Ellis last refreshed?
The information related to the Christine M Ellis, including its address, specialty, and other relevant details, was last updated on 2021-11-15.
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