Dillon, Donna Ellzey

Dillon, Donna Ellzey is an individual health care provider with primary practice located at 5325 26Th St W , Bradenton FL 34207-3012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dillon, Donna Ellzey can be contacted via phone (941) 752-7173.

Contact Information

Primary practice address
5325 26Th St W Bradenton FL 34207-3012
Phone: (941) 752-7173
Fax: (941) 567-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP 1727122 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X ARNP1727122 Florida

Profile Details

NPI number 1497757926
LBN Legal business name Dillon, Donna Ellzey
Credentials ARNP, BC, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 27th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497757926 NPPES
Florida MEDICAID 308496500
Florida MEDICAID 768487800

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