Bullis, Ellie

Bullis, Ellie is an individual health care provider with primary practice located at 1351 Kimberly Rd Ste 100 , Bettendorf IA 52722-4193. 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. Bullis, Ellie can be contacted via phone (563) 355-7733.

Contact Information

Primary practice address
1351 Kimberly Rd Ste 100 Bettendorf IA 52722-4193
Phone: (563) 355-7733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A167150 Iowa

Profile Details

NPI number 1760136220
LBN Legal business name Bullis, Ellie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2022
Last updated Jul 26th, 2022 - about 4 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 1760136220 NPPES
Iowa Other A167150 IOWA ARNP LICENSE

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