Ellis, Audia L.

Ellis, Audia L. is an individual health care provider with primary practice located at 10210 Couloak Dr Ste E, Charlotte NC 28216-7679. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Audia L. can be contacted via phone (704) 801-2000.

Contact Information

Primary practice address
10210 Couloak Dr Ste E Charlotte NC 28216-7679
Phone: (704) 801-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5007645 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5007645 North Carolina

Profile Details

NPI number 1962786640
LBN Legal business name Ellis, Audia L.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2011
Last updated Jul 15th, 2024 - about last year

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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