Ellis, Karrie L

Ellis, Karrie L is an individual health care provider with primary practice located at 1680 Albany Ave , Hartford CT 06105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellis, Karrie L can be contacted via phone (860) 236-4511.

Contact Information

Primary practice address
1680 Albany Ave Hartford CT 06105
Phone: (860) 236-4511
Fax: (860) 231-8449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001155 Connecticut

Profile Details

NPI number 1487690418
LBN Legal business name Ellis, Karrie L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487690418 NPPES
Other 2111440 CIGNA

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