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NPI Code Detail

MEDICARE: MRS. LANA ELLER NP

MEDICARE:  MRS. LANA  ELLER  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerF07181356FNC

General Provider Information

NPI Number : 1497221097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LANA ELLER NP
Provider Business Mailing Address
First Line : 1640 ROYAL TROON CT
Second Line :
City : DENVER
State : NC
Zip : 28037-5519
Country : US
Telephone Number : 864-320-1421
Fax Number :
Provider Business Practice Location Address
First Line : 1640 ROYAL TROON CT
Second Line :
City : DENVER
State : NC
Zip : 28037-5519
Country : US
Telephone Number : 864-320-1421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2018
Last Update Date : 10/22/2018

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Directions to “ MRS. LANA ELLER NP” Practice Location

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