DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEIRDRE WOOLSEY ELLIS, PA

Active

DEIRDRE WOOLSEY ELLIS, PA is a Physician Assistant healthcare provider located in NOKOMIS, Florida. NPI 1609945179 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NOKOMIS, FL

Registration Details

NPI Number
1609945179
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2006 (19.780942619318 yrs)
Last Updated
Feb 21, 2023
Licenses
0110002387 (VA)
PA9112912 (FL)

Practice Information

Address
1110 TAMIAMI TRL N
NOKOMIS, FL, 342752158
Browse FL providers · Browse ZIP 34275
Phone
7277660000
Fax
9412003932
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in NOKOMIS, FL

Name Credential NPI
ISABEL MARIA GUTIERREZ PA-C 1922716778
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.