MRS. Caroline Suzanne Ellis, NURSE PRACTITIONER
NPI #1588486989 in Carrizozo, New Mexico
Provider Information
- NPI Number
- 1588486989
- Entity Type
- Individual
- Name
- MRS. Caroline Suzanne Ellis, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 710 E AVE
- Address 2
- FAMILY MEDICINE
- City
- Carrizozo
- State
- New Mexico
- ZIP Code
- 88301-0008
- Phone
- (575) 648-2317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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