SearchNew Mexico133V00000X

Amy Ellis, MS, RD, LDN

NPI 1861741241 · on the registry since 2012 · sole proprietor

Practice

Address
Highway 169 Mile Marker 29
Alamo, NM 87825
Phone
(575) 854-2642
Fax
(575) 854-2606

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-08-31

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 New Mexico