SearchIndiana164W00000X

Susan Ellis, LPN

NPI 1841356078 · on the registry since 2006 · sole proprietor

Practice

Address
716 E Bradford St
Marion, IN 46952
Phone
(765) 251-1508

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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