Katherine Ellis
Nurse Practitioner - Pediatrics
2016 1st Ave
Summerville
, South Carolina 29486-0408
Katherine Ellis
Nurse Practitioner - Pediatrics
2016 1st Ave
Summerville
, South Carolina 29486-0408
(843) 432-3109
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Katherine Ellis
- 2016 1st Ave
- Summerville, SC
- Zip : 29486-0408
- Phone : (843) 432-3109
Second Address
- Katherine Ellis
- 2016 1st Ave
- Summerville, SC
- Zip : 29486-0408
- Phone : (843) 432-3109
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FAQs
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In what state does Katherine Ellis practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 22035 | SC |
National Provider Identifier
| NPI | 1043706393 |
|---|---|
| Provider Name | Katherine Ellis |
| First Address | Summerville, SC 29486-0408 |
| Second Address | Summerville, SC 29486-0408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2018 |
| Last Update Date | 10/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.