institution
K Ellis Pa
Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico
NPI 1124885348

K Ellis Pa is a Psychiatric/Mental Health Nurse Practitioner based in Fort Lauderdale, NM and is specialized in Psychiatric/Mental Health. K Ellis Pa practices in Albuquerque, NM. The NPI Number for K Ellis Pa is 1124885348 and holds a License No. (New Mexico).

The current practice location address for K Ellis Pa is 120 Madeira Dr Ne, Albuquerque, NM and can be reached out via phone at 505-546-4320 and via fax at 505-546-4325.

Location: 120 Madeira Dr Ne, Albuquerque, NM, 33301-4261
institution
Provider Profile Details
NPI Number
1124885348
Provider Name
K Ellis Pa
Credential
Provider Entity Type
Organization
Address
120 Madeira Dr Ne, Albuquerque, NM, 33301-4261
Phone Number
505-546-4320
Fax Number
505-546-4325
Provider Enumeration Date
03/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
120 Madeira Dr Ne
City
State
Zip
87108-1522
Phone Number
505-546-4320
Fax Number
505-546-4325
person
Provider Business Mailing Address Details
Address
120 Madeira Dr Ne
City
State
Zip
87108-1522
Phone Number
505-546-4320
Fax Number
505-546-4325
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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