EARNESTINE ELLIS APN NPI 1992778476

NPI Information

NPI: 1992778476
Provider Name: EARNESTINE ELLIS, APN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
7061 GRAND MONTECITO PKWY
LAS VEGAS, NV
ZIP 89149
Phone: (702) 750-3900
Get Directions

Earnestine Ellis, APN is an obstetrics and gynecology nurse practitioner in Las Vegas, NV. Earnestine Ellis, APN NPI is 1992778476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7061 GRAND MONTECITO PKWY
LAS VEGAS, NV
ZIP 89149-287
Phone: (702) 750-3900
Fax: (702) 750-3725

The enumeration date for this NPI number is 2/7/2006 and was last updated on 2/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	APN00065	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	31443	MEDICARE ID-TYPE UNSPECIFIED	NEVADA
2	V35687	MEDICARE PIN	NEVADA
3	2402055	MEDICAID	NEVADA
4	S64731	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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