Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIE LICON
ActiveELLIE LICON is a Foot & Ankle Surgery healthcare provider located in HARTS, West Virginia. NPI 1689271884 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · HARTS, WV
Registration Details
- NPI Number
- 1689271884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2020 (5.8636839368147 yrs)
- Last Updated
- Oct 1, 2020
Practice Information
- Address
-
823 HOOVER FORK RDHARTS, WV, 255245453Browse WV providers · Browse ZIP 25524
- Phone
- 3048559358
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in HARTS, WV
| Name | Credential | NPI |
|---|---|---|
| MS. DONNA KAYE BALDWIN | PCA | 1578079141 |
| MS. DOLLIE LOWE | PCA | 1285140855 |
| COLLEEN MULLINS | — | 1881204782 |
| SANDRA WORKMAN | — | 1780295147 |
| BRANDY ADKINS | — | 1134730393 |
| BARBARA ADKINS | — | 1497366652 |
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.