Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA ELLIS
ActiveANDREA ELLIS is a Primary Care Nurse Practitioner healthcare provider located in AIKEN, South Carolina. NPI 1629472550 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · AIKEN, SC
Registration Details
- NPI Number
- 1629472550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2014 (11.775800117959 yrs)
- Last Updated
- Feb 25, 2025
- License
-
18950 (SC)
Practice Information
- Address
-
3000 WOODSIDE EXECUTIVE CTAIKEN, SC, 298033831Browse SC providers · Browse ZIP 29803
- Phone
- 8032260343
- Fax
- 8032260584
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in AIKEN, SC
| Name | Credential | NPI |
|---|---|---|
| HOLLY SURRENCY | NP | 1104261916 |
| MRS. DESTINY NYCOLE HOWELL | NURSE PRACTITIONER | 1053003954 |
| ALEXANDRIA MORGAN PETROSKY | N-P | 1336974013 |
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.