Ellis, Earnestine

Ellis, Earnestine is an individual health care provider with primary practice located at 7061 Grand Montecito Pkwy , Las Vegas NV 89149-0287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ellis, Earnestine can be contacted via phone (702) 750-3900.

Contact Information

Primary practice address
7061 Grand Montecito Pkwy Las Vegas NV 89149-0287
Phone: (702) 750-3900
Fax: (702) 750-3725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APN00065 Nevada

Profile Details

NPI number 1992778476
LBN Legal business name Ellis, Earnestine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 14th, 2014 - about 12 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 1992778476 NPPES
Nevada MEDICAID 2402055

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