Ellen Jane Prodromou, N.P. is an obstetrics and gynecology nurse practitioner in San Rafael, CA. Ellen Jane Prodromou, N.P. NPI is 1548326341. 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:
99 MONTECILLO RD
SAN RAFAEL, CA
ZIP 94903-308
Phone: (415) 444-4557
The NPI 1548326341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/28/2006 and was last updated on 7/11/2007.