Prodromou, Ellen Jane

Prodromou, Ellen Jane is an individual health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Prodromou, Ellen Jane can be contacted via phone (415) 444-4557.

Contact Information

Primary practice address
99 Montecillo Rd San Rafael CA 94903-3308
Phone: (415) 444-4557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 325310 California

Profile Details

NPI number 1548326341
LBN Legal business name Prodromou, Ellen Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 11th, 2007 - about 19 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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