Ellis, Kirsten Wilson

Ellis, Kirsten Wilson is an individual health care provider with primary practice located at 1350 S Eliseo Dr Ste 130, Greenbrae CA 94904-2011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Kirsten Wilson can be contacted via phone (415) 238-0203.

Contact Information

Primary practice address
1350 S Eliseo Dr Ste 130 Greenbrae CA 94904-2011
Phone: (415) 238-0203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18219 California

Profile Details

NPI number 1346497658
LBN Legal business name Ellis, Kirsten Wilson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346497658 NPPES
California Other 18219 STATE LICENSE

Popular Providers