Ellis, Gretta

Ellis, Gretta is an sole proprietor health care provider with primary practice located at 1865 Nightingale Ln Ste B , Tavares FL 32778-4322. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellis, Gretta can be contacted via phone (352) 508-5419.

Contact Information

Primary practice address
1865 Nightingale Ln Ste B Tavares FL 32778-4322
Phone: (352) 508-5419
Fax: (352) 609-2519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X APRN9327255 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9327255 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9327255 Florida

Profile Details

NPI number 1457826281
LBN Legal business name Ellis, Gretta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2018
Last updated Aug 20th, 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.

Request for update

Popular Providers