person
Danielle Imani Ellis, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1740817469

Danielle Imani Ellis is a Student in an Organized Health Care Education/Training Program based in Waxhaw, MA. Danielle Imani Ellis practices in Boston, MA and has the professional credentials of MD. The NPI Number for Danielle Imani Ellis is 1740817469 and holds a License No. (Massachusetts).

The current practice location address for Danielle Imani Ellis is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-2803.

Location: 55 Fruit St, Boston, MA, 28173-7454
person
Provider Profile Details
NPI Number
1740817469
Provider Name
Danielle Imani Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 28173-7454
Phone Number
617-726-2803
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-2803
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-2803
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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