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

ELLEN M DETHLOFF, NP

Active

ELLEN M DETHLOFF, NP is a Nurse Practitioner healthcare provider located in DAYTONA BEACH, Florida. NPI 1811106222 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · DAYTONA BEACH, FL

Registration Details

NPI Number
1811106222
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.213535425222 yrs)
Last Updated
Apr 14, 2014
Licenses
300456 (NY)
ARNP 9373273 (FL)

Practice Information

Address
303 N CLYDE MORRIS BLVD # 8E
COORDINATOR EDUCATION-CLINICAL AFFILIATES
DAYTONA BEACH, FL, 321142709
Browse FL providers · Browse ZIP 32114
Phone
3864255800
Fax
3864255801
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in DAYTONA BEACH, FL

Name Credential NPI
THERESA ANN PURCELL ARNP-C 1548239874
JACQUELINE RENEE TERWILLIGER ARNP-C 1790745909
MARCIA J BAYER ARNP 1316907074
MR. BOBBY EUGNE TIPTON JR. ANP-BC, CPNP-PC 1649237512
DELORIS G BARRETT ARNP 1285691550
MRS. LESLEY SONDRA BOWLUS ARNP 1659314714
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.