Ellis, Mary

Ellis, Mary is an individual health care provider with primary practice located at 2560 N Healthy Way , Fremont NE 68025-2315. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, 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, Mary can be contacted via phone (029) 417-2454.

Contact Information

Primary practice address
2560 N Healthy Way Fremont NE 68025-2315
Phone: (029) 417-2454
Fax: (402) 941-7244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 55813 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 113044 Nebraska

Profile Details

NPI number 1790105948
LBN Legal business name Ellis, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2014
Last updated Aug 5th, 2022 - 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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