Ellis, Colleen Marie

Ellis, Colleen Marie is an individual health care provider with primary practice located at 739 State Route 28 Suite 9, Oneonta NY 13820. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Colleen Marie can be contacted via phone (607) 431-1015.

Contact Information

Primary practice address
739 State Route 28 Suite 9 Oneonta NY 13820
Phone: (607) 431-1015
Fax: (607) 431-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 648053-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348219 New York

Profile Details

NPI number 1144993478
LBN Legal business name Ellis, Colleen Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated Oct 4th, 2021 - about 3 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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