Kimberly Elizabeth Ellison in Philadelphia - Family
Kimberly Elizabeth Ellison - NPI 1700804804
Kimberly Elizabeth Ellison is a Family in Philadelphia, Pennsylvania. Kimberly Elizabeth Ellison practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberly Elizabeth Ellison is 1700804804. The last update date is 2013-01-23.
Kimberly Elizabeth Ellison's current location address is 3400 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156627355. The mailing address for Kimberly Elizabeth Ellison is 3400 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Elizabeth Ellison |
|---|---|
| Address | 3400 Spruce St, Philadelphia, Pennsylvania |
| Phone Number | 2156627355 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1700804804 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2013-01-23 |
Provider Mailing Address Detail
| Address | 3400 Spruce St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191044206 |
| Phone Number | 2156627355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | SP007021B |
|
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 |
|---|---|---|---|
| 1310182 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly Elizabeth Ellison by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly Elizabeth Ellison has been assigned the NPI (National Provider Identifier) 1700804804. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kimberly Elizabeth Ellison's facilities are situated?
The facilities of Kimberly Elizabeth Ellison are physically located at the following address: 3400 Spruce St, Philadelphia, PA, 191044206.
What is Kimberly Elizabeth Ellison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimberly Elizabeth Ellison's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700804804 to Kimberly Elizabeth Ellison?
The Centers for Medicare & Medicaid Services assigned the 1700804804 to Kimberly Elizabeth Ellison on 2006-07-17.
As of what date were the details pertaining to Kimberly Elizabeth Ellison last refreshed?
The information related to the Kimberly Elizabeth Ellison, including its address, specialty, and other relevant details, was last updated on 2013-01-23.
NPI Number: 1407858566
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