Ellis, Michelle Marie

Ellis, Michelle Marie is an individual health care provider with primary practice located at 1600 Dr Martin Luther King Jr St N , St Petersburg FL 33704-4204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Ellis, Michelle Marie can be contacted via phone (727) 323-3838.

Contact Information

Primary practice address
1600 Dr Martin Luther King Jr St N St Petersburg FL 33704-4204
Phone: (727) 323-3838
Fax: (727) 456-0751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN11014117 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11014117 Florida

Profile Details

NPI number 1851962096
LBN Legal business name Ellis, Michelle Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2021
Last updated Jan 24th, 2024 - about 2 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 1851962096 NPPES
Florida Other APRN11014117 LICENSE

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