Ellis, Ann Wilson
Ellis, Ann Wilson is an individual health care provider with primary practice located at 8251 Pine Rd Ste 220, Cincinnati OH 45236-2191. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellis, Ann Wilson can be contacted via phone (513) 936-9191.Contact Information
Primary practice address
8251 Pine Rd Ste 220
Cincinnati OH 45236-2191
Phone: (513) 936-9191
Fax: (513) 936-0222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3003153 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NP-5172 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3153 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 05172 | Ohio |
Profile Details
NPI number | 1225035223 |
---|---|
LBN Legal business name | Ellis, Ann Wilson |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
Last updated | Feb 15th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225035223 | NPPES |
Kentucky | Other | 0369012 | MEDICARE |
Kentucky | MEDICAID | 2383344 | MEDICARE |
Kentucky | Other | 0562612 | MEDICARE |
Kentucky | MEDICAID | 78011780 | MEDICARE |
Kentucky | Other | 611300608060 | MEDICARE |
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