person
Susan Ellis, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Roseburg, Oregon
NPI 1750706800

Susan Ellis is a Psychiatric/Mental Health Nurse Practitioner based in Roseburg, OR and is specialized in Psychiatric/Mental Health. Susan Ellis practices in Roseburg, OR and has the professional credentials of PMHNP. The NPI Number for Susan Ellis is 1750706800 and holds a License No. 202114835NP-PP (Oregon).

The current practice location address for Susan Ellis is 1937 W Harvard Ave, Roseburg, OR and can be reached out via phone at 541-677-7200 and via fax at 541-229-3309.

Location: 1937 W Harvard Ave, Roseburg, OR, 97471-6214
person
Provider Profile Details
NPI Number
1750706800
Provider Name
Susan Ellis
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1937 W Harvard Ave, Roseburg, OR, 97471-6214
Phone Number
541-677-7200
Fax Number
541-229-3309
Provider Enumeration Date
02/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1937 W Harvard Ave
City
State
Zip
97471-2720
Phone Number
541-677-7200
Fax Number
541-229-3309
person
Provider Business Mailing Address Details
Address
1937 W Harvard Ave
City
State
Zip
97471-2720
Phone Number
541-677-7200
Fax Number
541-229-3309
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
202114835NP-PP (Oregon)
Definition
Definition to come...
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