institution
Nicholas Ellyn, M.d., P.c.
Specialist in Alexandria, Virginia
NPI 1306006614

Nicholas Ellyn, M.d., P.c. is a Specialist based in Alexandria, VA. Nicholas Ellyn, M.d., P.c. practices in Alexandria, VA. The NPI Number for Nicholas Ellyn, M.d., P.c. is 1306006614 and holds a License No. 0101027634 (Virginia).

The current practice location address for Nicholas Ellyn, M.d., P.c. is 1707 Osage St, Alexandria, VA and can be reached out via phone at 703-578-0100 and via fax at 703-824-8357.

Location: 1707 Osage St, Alexandria, VA, 22302-2607
institution
Provider Profile Details
NPI Number
1306006614
Provider Name
Nicholas Ellyn, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
1707 Osage St, Alexandria, VA, 22302-2607
Phone Number
703-578-0100
Fax Number
703-824-8357
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6380883 05 VA
1174626311 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1707 Osage St
City
State
Zip
22302-2607
Phone Number
703-578-0100
Fax Number
703-824-8357
person
Provider Business Mailing Address Details
Address
1707 Osage St
City
State
Zip
22302-2607
Phone Number
703-578-0100
Fax Number
703-824-8357
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101027634 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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