Ellis, Katrina Karetha

Ellis, Katrina Karetha is an individual health care provider with primary practice located at 4533 N 67Th Street , Milwaukee WI 53218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care, which is considered as her primary health care specialty. Ellis, Katrina Karetha can be contacted via phone (414) 461-2977.

Contact Information

Primary practice address
4533 N 67Th Street Milwaukee WI 53218
Phone: (414) 461-2977
Fax: (414) 461-2977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care 364SL0600X 307461-031 Wisconsin

Profile Details

NPI number 1588828594
LBN Legal business name Ellis, Katrina Karetha
Credentials LICENSED PRACTICAL
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Jul 18th, 2008 - about 18 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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