MS. SUNDIE WRIGHT ELLIS APRN BC FNP NPI 1245232297

NPI Information

NPI: 1245232297
Provider Name: MS. SUNDIE WRIGHT ELLIS, APRN, BC, FNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
10717 LIPAN TRL
FORT WORTH, TX
ZIP 76108
Phone: (817) 244-1592
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MS. Sundie Wright Ellis, APRN, BC, FNP is a primary care nurse practitioner in Fort Worth, TX. MS. Sundie Wright Ellis, APRN, BC, FNP NPI is 1245232297. 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:

10717 LIPAN TRL
FORT WORTH, TX
ZIP 76108-924
Phone: (817) 244-1592

The enumeration date for this NPI number is 6/2/2005 and was last updated on 7/8/2007.

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	363LP2300X	Nurse Practitioner	Primary Care	667088	TEXAS	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	Other Provider Identifier Issuer
1	P34000	MEDICARE UPIN	TEXAS
2	86N138	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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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