Robertson, Ellen L
Robertson, Ellen L is an individual health care provider with primary practice located at 11104 Parkview Circle Dr , Fort Wayne IN 46845-1672. She recently has 2 registered licenses in different health care specialties including 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. Robertson, Ellen L can be contacted via phone (260) 266-5370.Contact Information
Primary practice address
11104 Parkview Circle Dr
Fort Wayne IN 46845-1672
Phone: (260) 266-5370
Fax: (260) 266-5379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001478A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001478A | Indiana |
Profile Details
| NPI number | 1164470340 |
|---|---|
| LBN Legal business name | Robertson, Ellen L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164470340 | NPPES |
| Indiana | Other | 28113969A | REGISTERED NURSE LICENSE |
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