person
Susan Ellis, PNP
Pediatric Nurse Practitioner in Muscatine, Iowa
NPI 1871631796

Susan Ellis is a Pediatric Nurse Practitioner based in Muscatine, IA and is specialized in Pediatrics. Susan Ellis practices in Muscatine, IA and has the professional credentials of PNP. The NPI Number for Susan Ellis is 1871631796 and holds a License No. C-079193 (Iowa).

The current practice location address for Susan Ellis is 1609 Cedar St, Muscatine, IA and can be reached out via phone at 563-263-0122 and via fax at 563-263-0520.

Location: 1609 Cedar St, Muscatine, IA, 52761-8326
person
Provider Profile Details
NPI Number
1871631796
Provider Name
Susan Ellis
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1609 Cedar St, Muscatine, IA, 52761-8326
Phone Number
563-263-0122
Fax Number
563-263-0520
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22315 01 IA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1609 Cedar St
City
State
Zip
52761-3426
Phone Number
563-263-0122
Fax Number
563-263-0520
person
Provider Business Mailing Address Details
Address
1609 Cedar St
City
State
Zip
52761-3426
Phone Number
563-263-0122
Fax Number
563-263-0520
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
C-079193 (Iowa)
Definition
Definition to come...
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