person
Keisha Ellis, NP
Family Nurse Practitioner in Roswell, New Mexico
NPI 1508318494

Keisha Ellis is a Family Nurse Practitioner based in Albuquerque, NM and is specialized in Family. Keisha Ellis practices in Roswell, NM and has the professional credentials of NP. The NPI Number for Keisha Ellis is 1508318494 and holds a License No. CNP-03387 (New Mexico).

The current practice location address for Keisha Ellis is 601 W Country Club Rd Ste 102, Roswell, NM and can be reached out via phone at 575-624-4922 and via fax at 575-624-4902.

Location: 601 W Country Club Rd Ste 102, Roswell, NM, 87110-7845
person
Provider Profile Details
NPI Number
1508318494
Provider Name
Keisha Ellis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
601 W Country Club Rd Ste 102, Roswell, NM, 87110-7845
Phone Number
575-624-4922
Fax Number
575-624-4902
Provider Enumeration Date
10/26/2016
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44672322 05 NM
institution
Provider Business Practice Location Address Details
Address
601 W Country Club Rd Ste 102
City
State
Zip
88201-5227
Phone Number
575-624-4922
Fax Number
575-624-4902
person
Provider Business Mailing Address Details
Address
601 W Country Club Rd Ste 102
City
State
Zip
88201-5227
Phone Number
575-624-4922
Fax Number
575-624-4902
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP03387 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP-03387 (New Mexico)
Definition
Definition to come...
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