Ellis, Nathanael
Ellis, Nathanael is an individual health care provider with primary practice located at 4900 Houston Rd , Florence KY 41042-4824. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Ellis, Nathanael can be contacted via phone (859) 212-5441.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 332898 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | 28202989A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3012203 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71004030A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.13515-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN.CNP.13515 | Ohio |
Profile Details
| NPI number | 1932454055 |
|---|---|
| LBN Legal business name | Ellis, Nathanael |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2012 |
| Last updated | Jul 19th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932454055 | NPPES |
| Kentucky | MEDICAID | 7100302330 |
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