person
Anthony Ellis, NP
Family Nurse Practitioner in San Jose, California
NPI 1063922771

Anthony Ellis is a Family Nurse Practitioner based in Fremont, CA and is specialized in Family. Anthony Ellis practices in San Jose, CA and has the professional credentials of NP. The NPI Number for Anthony Ellis is 1063922771 and holds a License No. 95007645 (California).

The current practice location address for Anthony Ellis is 2105 Forest Ave, San Jose, CA and can be reached out via phone at 408-947-2500.

Location: 2105 Forest Ave, San Jose, CA, 94539-5902
person
Provider Profile Details
NPI Number
1063922771
Provider Name
Anthony Ellis
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2105 Forest Ave, San Jose, CA, 94539-5902
Phone Number
408-947-2500
Fax Number
Provider Enumeration Date
10/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2105 Forest Ave
City
State
Zip
95128-1425
Phone Number
408-947-2500
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Forest Ave
City
State
Zip
95128-1425
Phone Number
408-947-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95007645 (California)
Definition
Definition to come...
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