MRS. Tara Lynn Ellis, RN

NPI #1003325424 in Malone, New York

Provider Information

NPI Number
1003325424
Entity Type
Individual
Name
MRS. Tara Lynn Ellis, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - School
Credential
RN
Enumeration Date
Sep 28, 2017
Last Updated
Sep 28, 2017

Practice Location

Address
23 HUSKY LANE
City
Malone
ZIP Code
12953
Phone
(518) 483-5230

Specialties & Taxonomy Codes

Specialty
Registered Nurse - SchoolSchool

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