Carissa Ellis, R.N.
NPI #1740632496 in Mastic Beach, New York
Provider Information
- NPI Number
- 1740632496
- Entity Type
- Individual
- Name
- Carissa Ellis, R.N.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- R.N.
- Enumeration Date
- Jul 6, 2016
- Last Updated
- Jul 6, 2016
Practice Location
- Address
- 74 MILL DR
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1403
- Phone
- (631) 578-5758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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