Ellis, Michelle

Ellis, Michelle is an individual health care provider with primary practice located at 1290 Tremont St , Roxbury MA 02120-3432. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Michelle can be contacted via phone (617) 989-3289.

Contact Information

Primary practice address
1290 Tremont St Roxbury MA 02120-3432
Phone: (617) 989-3289
Fax: (617) 989-3125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2339531 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X 702696 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33341477 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2339531 Massachusetts

Profile Details

NPI number 1851743017
LBN Legal business name Ellis, Michelle
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 26th, 2021 - about 5 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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