Dethloff, Ellen M

Dethloff, Ellen M is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd # 8E Coordinator Education-Clinical Affiliates, Daytona Beach FL 32114-2709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dethloff, Ellen M can be contacted via phone (386) 425-5800.

Contact Information

Primary practice address
303 N Clyde Morris Blvd # 8E Coordinator Education-Clinical Affiliates Daytona Beach FL 32114-2709
Phone: (386) 425-5800
Fax: (386) 425-5801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300456 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9373273 Florida

Profile Details

NPI number 1811106222
LBN Legal business name Dethloff, Ellen M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Apr 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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