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Ellen Ray
Pediatric Nurse Practitioner in Cottleville, Missouri
NPI 1932880333

Ellen Ray is a Pediatric Nurse Practitioner based in Chicago, MO and is specialized in Pediatrics. Ellen Ray practices in Cottleville, MO. The NPI Number for Ellen Ray is 1932880333 and holds a License No. 2005005840 (Missouri).

The current practice location address for Ellen Ray is 4525 Mid Rivers Mall Dr Ste 10, Cottleville, MO and can be reached out via phone at 636-229-3350.

Location: 4525 Mid Rivers Mall Dr Ste 10, Cottleville, MO, 60677-6442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932880333
Provider Name
Ellen Ray
Credential
Provider Entity Type
Individual
Gender
Female
Address
4525 Mid Rivers Mall Dr Ste 10, Cottleville, MO, 60677-6442
Phone Number
636-229-3350
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4525 Mid Rivers Mall Dr Ste 10
City
Cottleville
State
Missouri
Zip
63376-2820
Phone Number
636-229-3350
Fax Number
person
Provider Business Mailing Address Details
Address
4525 Mid Rivers Mall Dr Ste 10
City
Cottleville
State
Missouri
Zip
63376-2820
Phone Number
636-229-3350
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
2023033858 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
2005005840 (Missouri)
Definition
Definition to come...
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