Search › Connecticut › Pediatric Nurse Practitioner
Keith Ellis
NPI 1144654666 · on the registry since 2013
Practice
- Address
- 46 Albion St
Bridgeport, CT 06605 - Phone
- (203) 330-6000
- Fax
- (203) 330-6008
- Organisation at this address
- Southwest Community Health Center
South-West Community Health Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Additional practice sites
- 282 Washington St, Hartford, CT
Registry record
- Primary taxonomy
- Pediatric Nurse Practitioner
363LP0200X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut