person
Mrs. Traci Eileen Evans-ellacott, CNP
Adult Health Nurse Practitioner in Elyria, Ohio
NPI 1588634976

Traci Eileen Evans-ellacott is an Adult Health Nurse Practitioner based in Westlake, OH and is specialized in Adult Health. Traci Eileen Evans-ellacott practices in Elyria, OH and has the professional credentials of CNP. The NPI Number for Traci Eileen Evans-ellacott is 1588634976 and holds a License No. NP-06543 (Ohio).

The current practice location address for Traci Eileen Evans-ellacott is 125 E Broad St, Elyria, OH and can be reached out via phone at 440-414-9100 and via fax at 440-322-3454.

Location: 125 E Broad St, Elyria, OH, 44145-8201
person
Provider Profile Details
NPI Number
1588634976
Provider Name
Traci Eileen Evans-ellacott
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
125 E Broad St, Elyria, OH, 44145-8201
Phone Number
440-414-9100
Fax Number
440-322-3454
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500022799 01 RAILROAD MEDICARE
000000342754 01 OH ANTHEM
2284004 05 OH
institution
Provider Business Practice Location Address Details
Address
125 E Broad St
City
State
Zip
44035-6400
Phone Number
440-414-9100
Fax Number
440-322-3454
person
Provider Business Mailing Address Details
Address
125 E Broad St
City
State
Zip
44035-6400
Phone Number
440-414-9100
Fax Number
440-322-3454
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
NP-06543 (Ohio)
Definition
Definition to come...
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