Colette Suzanne Ellis in Daytona Beach - Nurse Anesthetist, Certified Registered
Colette Suzanne Ellis - NPI 1295792067
Colette Suzanne Ellis is a Nurse Anesthetist, Certified Registered in Daytona Beach, Florida. Colette Suzanne Ellis practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Colette Suzanne Ellis is 1295792067. The last update date is 2018-07-11.
Colette Suzanne Ellis's current location address is 1671 N Clyde Morris Blvd Ste 100, Daytona Beach, Florida. You can contact this provider via phone number 3862742977 and fax number 3862742997. The mailing address for Colette Suzanne Ellis is 1671 N Clyde Morris Blvd Ste 100, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colette Suzanne Ellis |
|---|---|
| Address | 1671 N Clyde Morris Blvd Ste 100, Daytona Beach, Florida |
| Phone Number | 3862742977 |
| Fax Number | 3862742997 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1295792067 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
| Address | 1671 N Clyde Morris Blvd Ste 100 |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321175590 |
| Phone Number | 3862742977 |
| Fax Number | 3862742997 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 2156 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4480400 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Colette Suzanne Ellis?
The Colette Suzanne Ellis has been issued the NPI (National Provider Identifier) 1295792067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Colette Suzanne Ellis's facilities are geographically located?
The facilities of Colette Suzanne Ellis are physically situated at the following location: 1671 N Clyde Morris Blvd Ste 100, Daytona Beach, FL, 321175590.
What is Colette Suzanne Ellis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Colette Suzanne Ellis is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
On what date did the Colette Suzanne Ellis receive its 1295792067 assignment from the Centers for Medicare & Medicaid Services?
The Colette Suzanne Ellis was assigned its 1295792067 by the Centers for Medicare & Medicaid Services on 2006-04-27.
When was the information regarding Colette Suzanne Ellis most recently updated?
The details pertaining to the Colette Suzanne Ellis, including its address, specialty, and other relevant information, were last refreshed on 2018-07-11.