Genie Marie Ellis is a Family in Rapid City, South Dakota. Genie Marie Ellis practices all healthcare services and medical treatments related to Family. The NPI Number for Genie Marie Ellis is 1649233677. The last update date is 2011-11-08.
Genie Marie Ellis's current location address is 3200 Canyon Lake Dr, Rapid City, South Dakota. You can contact this provider via phone number 6053552443 and fax number 6503552403. The mailing address for Genie Marie Ellis is 3200 Canyon Lake Dr, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Genie Marie Ellis |
|---|---|
| Address | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Phone Number | 6053552443 |
| Fax Number | 6503552403 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1649233677 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 3200 Canyon Lake Dr |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577028114 |
| Phone Number | 6053552443 |
| Fax Number | 6503552403 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 0229CNP |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5549050 | SD | -- |
Post Comment/ Review Below
What is the Genie Marie Ellis's unique identification number?
The Genie Marie Ellis has been assigned the NPI (National Provider Identifier) Number 1649233677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Genie Marie Ellis located?
The Genie Marie Ellis is located at 3200 Canyon Lake Dr, Rapid City, SD 577028114.
What is Genie Marie Ellis's area of expertise and its corresponding taxonomy classification?
The Genie Marie 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.
When did Genie Marie Ellis receive its 1649233677 assignment?
The Genie Marie Ellis was assigned its 1649233677 on 2006-04-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Genie Marie Ellis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Genie Marie Ellis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-08.