person
Ivan Elises, APRN-CNP
Psychiatric/Mental Health Nurse Practitioner in Moraine, Ohio
NPI 1891352910

Ivan Elises is a Psychiatric/Mental Health Nurse Practitioner based in Moraine, OH and is specialized in Psychiatric/Mental Health. Ivan Elises practices in Moraine, OH and has the professional credentials of APRN-CNP. The NPI Number for Ivan Elises is 1891352910 and holds a License No. RN.367625 (Ohio).

The current practice location address for Ivan Elises is 5348 Lamme Rd, Moraine, OH and can be reached out via phone at 937-534-4651 and via fax at 937-522-8799.

Location: 5348 Lamme Rd, Moraine, OH, 45439-3215
person
Provider Profile Details
NPI Number
1891352910
Provider Name
Ivan Elises
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Male
Address
5348 Lamme Rd, Moraine, OH, 45439-3215
Phone Number
937-534-4651
Fax Number
937-522-8799
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5348 Lamme Rd
City
State
Zip
45439-3215
Phone Number
937-534-4651
Fax Number
937-522-8799
person
Provider Business Mailing Address Details
Address
5348 Lamme Rd
City
State
Zip
45439-3215
Phone Number
937-534-4651
Fax Number
937-522-8799
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APRN.CNP.0027227 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN.367625 (Ohio)
Definition
Definition to come...
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