Ellis, Pamela

Ellis, Pamela is an individual health care provider with primary practice located at 2025 Glenn Mitchell Dr 2Nd Floor Education Department, Virginia Beach VA 23456-0178. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Ellis, Pamela can be contacted via phone (757) 507-2711.

Contact Information

Primary practice address
2025 Glenn Mitchell Dr 2Nd Floor Education Department Virginia Beach VA 23456-0178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 0001228063 Virginia

Profile Details

NPI number 1134700404
LBN Legal business name Ellis, Pamela
Credentials BS, BSN, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2021
Last updated Aug 16th, 2021 - about 4 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 1134700404 NPPES
Other 6875147 DPRP ASSIGNED ORGANIZATIONAL CODE

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