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

CARISSA ELLIS, R.N.

Active Sole Proprietor

CARISSA ELLIS, R.N. is a Registered Nurse healthcare provider located in MASTIC BEACH, New York. NPI 1740632496 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MASTIC BEACH, NY

Registration Details

NPI Number
1740632496
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2016 (10.122743255058 yrs)
Last Updated
Jul 6, 2016
License
22 717140 (NY)
Sole Proprietor
Yes

Practice Information

Address
74 MILL DR
MASTIC BEACH, NY, 119511403
Browse NY providers · Browse ZIP 11951
Phone
6315785758
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in MASTIC BEACH, NY

Name Credential NPI
ANTON L WILLIAMS LPN 1023209863
MRS. ROSINA DEE LASKOWSKI R.N. 1699000141
MR. JAMES A DENNING RN 1528388147
MS. DONNA LAGRANGE REGISTERED NURSE 1366762544
EVE SABLE 1174825608
DARRIEL DANIELS 1245516418
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.