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Amanda Ellis
Medical Physician Assistant in New Haven, Connecticut
NPI 1689388480

Amanda Ellis is a Medical Physician Assistant based in Sparks, CT and is specialized in Medical. Amanda Ellis practices in New Haven, CT. The NPI Number for Amanda Ellis is 1689388480 and holds a License No. RN88608 (Connecticut).

The current practice location address for Amanda Ellis is 433 Temple St, New Haven, CT and can be reached out via phone at 203-432-4771.

Location: 433 Temple St, New Haven, CT, 89436-0616
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Provider Profile Details
NPI Number
1689388480
Provider Name
Amanda Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
433 Temple St, New Haven, CT, 89436-0616
Phone Number
203-432-4771
Fax Number
Provider Enumeration Date
01/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
433 Temple St
City
State
Zip
06511-6803
Phone Number
203-432-4771
Fax Number
person
Provider Business Mailing Address Details
Address
433 Temple St
City
State
Zip
06511-6803
Phone Number
203-432-4771
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
RN88608 (Nevada)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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