Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YAVONNE L ELLIS, LPN
Active Sole ProprietorYAVONNE L ELLIS, LPN is a Licensed Practical Nurse healthcare provider located in GRASONVILLE, Maryland. NPI 1083038137 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · GRASONVILLE, MD
Registration Details
- NPI Number
- 1083038137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2014 (12.493643759663 yrs)
- Last Updated
- Apr 8, 2014
- Licenses
-
LP48536 (MD)LPN1006048 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 CHESTER RIVER BEACH RDGRASONVILLE, MD, 21638Browse MD providers · Browse ZIP 21638
- Phone
- 2023914837
- Fax
- 4108274727
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.