Active NPIIndividual providerSole proprietor

Mandie Ellis, DAOM

Acupuncturist in Glendale, Rhode Island

NPI Number1790433605
Practice location
1991 Victory Hwy, Glendale, RI 02826-1670
Fax
—
Last updated
March 10, 2022

Mandie Ellis is an Acupuncturist based in Glendale, RI. Mandie Ellis practices in Glendale, RI and has the professional credentials of DAOM. The NPI Number for Mandie Ellis is 1790433605 and holds a License No. DAOM00088 (RI). The current practice location address for Mandie Ellis is 1991 Victory Hwy, Glendale, RI 02826-1670 and can be reached out via phone at 401-710-4207.

Provider Profile Details

NPI Number
1790433605
Provider Name
Mandie Ellis
Credential
DAOM
Provider Entity Type
Individual
Gender
Female
Address
1991 Victory Hwy, Glendale, RI 02826-1670
Phone Number
401-710-4207
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
March 10, 2022
Last Update Date
March 10, 2022
Certification Date
March 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1991 Victory Hwy
Glendale, RI 02826-1670
Zip
02826-1670
Phone Number
401-710-4207
Glendale, RI 02826Get directions →

Provider Business Mailing Address Details

Address
153 Woodstock Ave
Putnam, CT 06260-1429
City
Putnam
State
CT
Zip
06260-1429
Phone Number
978-798-8804

License Information

License Number
DAOM00088
License State
RI
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mandie Ellis, DAOM?

The NPI number of Mandie Ellis, DAOM is 1790433605. It was assigned on March 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Mandie Ellis, DAOM?

Mandie Ellis, DAOM is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in RI under license number DAOM00088.

Where does Mandie Ellis, DAOM practice?

The practice location is 1991 Victory Hwy, Glendale, RI 02826-1670. The office can be reached at 401-710-4207 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790433605 directly on the NPPES registry website.

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