Mrs. Crystal Ellis, LPN
Licensed Practical Nurse in Mount Vernon, New York
1578274684- Practice location
- 11 W Prospect Ave, Mount Vernon, NY 10550-2017
- Phone
- 914-668-8938
- Fax
- 914-668-2545
- Last updated
- December 9, 2022
Crystal Ellis is a Licensed Practical Nurse based in Mount Vernon, NY. Crystal Ellis practices in Mount Vernon, NY and has the professional credentials of LPN. The NPI Number for Crystal Ellis is 1578274684 and holds a License No. 344728 (NY). The current practice location address for Crystal Ellis is 11 W Prospect Ave, Mount Vernon, NY 10550-2017 and can be reached out via phone at 914-668-8938 and via fax at 914-668-2545.
Provider Profile Details
- NPI Number
- 1578274684
- Provider Name
- Crystal Ellis
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 W Prospect Ave, Mount Vernon, NY 10550-2017
- Phone Number
- 914-668-8938
- Fax Number
- 914-668-2545
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 9, 2022
- Last Update Date
- December 9, 2022
- Certification Date
- December 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 W Prospect Ave
Mount Vernon, NY 10550-2017 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-2017
- Phone Number
- 914-668-8938
- Fax Number
- 914-668-2545
Provider Business Mailing Address Details
- Address
- 845 N Broadway
White Plains, NY 10603-2427 - City
- White Plains
- State
- NY
- Zip
- 10603-2427
- Phone Number
- 914-761-0600
- Fax Number
- 914-761-5367
License Information
- License Number
- 344728
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Licensed Practical Nurses near Mount Vernon, NY
View all Licensed Practical Nurses in Mount Vernon →- Abigail GonzalezLicensed Practical Nurse · NPI 1578266078
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- Adanna PalmerLicensed Practical Nurse · NPI 1073296059
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Frequently Asked Questions
What is the NPI number of Mrs. Crystal Ellis, LPN?
The NPI number of Mrs. Crystal Ellis, LPN is 1578274684. It was assigned on December 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Mrs. Crystal Ellis, LPN?
Mrs. Crystal Ellis, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 344728.
Where does Mrs. Crystal Ellis, LPN practice?
The practice location is 11 W Prospect Ave, Mount Vernon, NY 10550-2017. The office can be reached at 914-668-8938 (phone) or 914-668-2545 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578274684 directly on the NPPES registry website.