Ellis, Amanda D

Ellis, Amanda D is an individual health care provider with primary practice located at 3841 Piper St Ste T100 , Anchorage AK 99508-4674. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ellis, Amanda D can be contacted via phone (907) 561-3211.

Contact Information

Primary practice address
3841 Piper St Ste T100 Anchorage AK 99508-4674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 158829 Alaska

Profile Details

NPI number 1568070654
LBN Legal business name Ellis, Amanda D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2020
Last updated Aug 20th, 2020 - about 4 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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