Ellis, Amber

Ellis, Amber is an individual health care provider with primary practice located at 140 Stollings Ave Suite 3, Logan WV 25601-4035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Amber can be contacted via phone (304) 752-4594.

Contact Information

Primary practice address
140 Stollings Ave Suite 3 Logan WV 25601-4035
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 61591 West Virginia

Profile Details

NPI number 1093049983
LBN Legal business name Ellis, Amber
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2009
Last updated Sep 9th, 2011 - about 13 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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