Harris, Ellen

Harris, Ellen is an individual health care provider with primary practice located at 35 Hope Dr , Hershey PA 17033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Harris, Ellen can be contacted via phone (717) 531-3503.

Contact Information

Primary practice address
35 Hope Dr Hershey PA 17033
Phone: (717) 531-3503
Fax: (717) 531-4375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP004517G Pennsylvania

Profile Details

NPI number 1063740314
LBN Legal business name Harris, Ellen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2009
Last updated May 23rd, 2018 - about 6 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 1063740314 NPPES
Pennsylvania Other 179048 MEDICARE
Pennsylvania MEDICAID 1031625510001 MEDICARE

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