Nicole M Ellison M.D.

NPI 1013013721 - Family Medicine - 207Q00000X

NPI Details
NPI 1013013721
Gender Female
Enumeration Date 09/16/2006
Last Updated 11/05/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3601 SW 160TH AVE
MIRAMAR FL, 33027-6308, US
Phone (877) 866-7123
Business Location
GRAND PRAIRIE TX, 75052-0408, US
Phone (817) 466-1178
Fax (972) 293-9669
Taxonomy Code 207Q00000X
License State Florida
License Number ME81826
Remove 1013013721 NPI Number

According to our database, Nicole M Ellison M.D. NPI is 1013013721, taxonomy code is 207Q00000X and license number is ME81826, license state is located at Florida. Nicole M Ellison M.D. physically located at 3601 Sw 160th Ave, Miramar FL, 33027-6308. NPI Number Nicole M Ellison M.D. has the Individual type.

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1013013721 NPI number is provided on an as is basis without warranty of any kind. 1013013721 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole M Ellison M.D. are for informational purposes only.