Active NPIIndividual providerSole proprietor

Mercedes Ellis, RN

Registered Nurse in Bradford, Vermont

NPI Number1801472105
Practice location
2477 Waits River RD, Bradford, VT 05033-8104
Fax
—
Last updated
June 28, 2021

Mercedes Ellis is a Registered Nurse based in Bradford, VT. Mercedes Ellis practices in Bradford, VT and has the professional credentials of RN. The NPI Number for Mercedes Ellis is 1801472105 and holds a License No. 025.0135464 (VT). The current practice location address for Mercedes Ellis is 2477 Waits River RD, Bradford, VT 05033-8104 and can be reached out via phone at 603-667-8337.

Provider Profile Details

NPI Number
1801472105
Provider Name
Mercedes Ellis
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2477 Waits River RD, Bradford, VT 05033-8104
Phone Number
603-667-8337
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2021
Last Update Date
June 28, 2021
Certification Date
June 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2477 Waits River RD
Bradford, VT 05033-8104
State
Vermont
Zip
05033-8104
Phone Number
603-667-8337
Bradford, VT 05033Get directions →

Provider Business Mailing Address Details

Address
2477 Waits River RD
Bradford, VT 05033-8104
City
Bradford
State
VT
Zip
05033-8104
Phone Number
603-667-8337

License Information

License Number (1)
025.0135464
License State (1)
VT
Taxonomy (1)
Licensed Practical Nurse · 164W00000X
License Number (2)
026.0146370
License State (2)
VT
Taxonomy (2)
Registered Nurse · 163W00000X · 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 Mercedes Ellis, RN?

The NPI number of Mercedes Ellis, RN is 1801472105. It was assigned on March 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Mercedes Ellis, RN?

Mercedes Ellis, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in VT under license number 025.0135464.

Where does Mercedes Ellis, RN practice?

The practice location is 2477 Waits River RD, Bradford, VT 05033-8104. The office can be reached at 603-667-8337 (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 1801472105 directly on the NPPES registry website.

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