Ellis, Deborah R

Ellis, Deborah R is an individual health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-1000. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ellis, Deborah R can be contacted via phone (909) 583-6189.

Contact Information

Primary practice address
11201 Benton St Loma Linda CA 92357-1000
Phone: (909) 583-6189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN519425 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP13079 California

Profile Details

NPI number 1427098441
LBN Legal business name Ellis, Deborah R
Credentials RN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 13th, 2010 - about 15 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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