Addison, Ellen Marie

Addison, Ellen Marie is an sole proprietor health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Addison, Ellen Marie can be contacted via phone (402) 559-4424.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Fax: (402) 559-4364
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 111052 Nebraska

Profile Details

NPI number 1831422302
LBN Legal business name Addison, Ellen Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Jun 28th, 2011 - about 15 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 1831422302 NPPES
Nebraska Other 111052 STATE LICENSE

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