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Shannon Ellis
NPI 1215638622 · on the registry since 2023
Practice
- Address
- 2814 Amherst St
Indianapolis, IN 46268 - Phone
- (317) 914-3408
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-13
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 Indiana