person
Mrs. Genie Marie Ellis, FNP
Family Nurse Practitioner in Rapid City, South Dakota
NPI 1649233677

Genie Marie Ellis is a Family Nurse Practitioner based in Rapid City, SD and is specialized in Family. Genie Marie Ellis practices in Rapid City, SD and has the professional credentials of FNP. The NPI Number for Genie Marie Ellis is 1649233677 and holds a License No. 0229CNP (South Dakota).

The current practice location address for Genie Marie Ellis is 3200 Canyon Lake Dr, Rapid City, SD and can be reached out via phone at 605-355-2443 and via fax at 650-355-2403.

Location: 3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
person
Provider Profile Details
NPI Number
1649233677
Provider Name
Genie Marie Ellis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
Phone Number
605-355-2443
Fax Number
650-355-2403
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5549050 05 SD
institution
Provider Business Practice Location Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2443
Fax Number
650-355-2403
person
Provider Business Mailing Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2443
Fax Number
650-355-2403
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0229CNP (South Dakota)
Definition
Definition to come...
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