Ellis, Ann Wilson

Ellis, Ann Wilson is an individual health care provider with primary practice located at 8251 Pine Rd Ste 220, Cincinnati OH 45236-2191. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellis, Ann Wilson can be contacted via phone (513) 936-9191.

Contact Information

Primary practice address
8251 Pine Rd Ste 220 Cincinnati OH 45236-2191
Phone: (513) 936-9191
Fax: (513) 936-0222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003153 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-5172 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3153 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 05172 Ohio

Profile Details

NPI number 1225035223
LBN Legal business name Ellis, Ann Wilson
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 15th, 2012 - about 13 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 1225035223 NPPES
Kentucky Other 0369012 MEDICARE
Kentucky MEDICAID 2383344 MEDICARE
Kentucky Other 0562612 MEDICARE
Kentucky MEDICAID 78011780 MEDICARE
Kentucky Other 611300608060 MEDICARE

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