DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NINA S ELLISON FNP

MEDICARE: NINA S ELLISON FNP
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
1363LF0000XFamily Nurse PractitionerAPRN1563SC
2363LF0000XFamily Nurse Practitioner5004353NC

General Provider Information

NPI Number : 1952494916
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA S ELLISON FNP
Provider Business Mailing Address
First Line : 920 2ND AVE S
Second Line : SUITE 400
City : MINNEAPOLIS
State : MN
Zip : 55402-3318
Country : US
Telephone Number : 612-225-1512
Fax Number : 612-234-4625
Provider Business Practice Location Address
First Line : 1008 LAKE MURRAY BLVD
Second Line :
City : IRMO
State : SC
Zip : 29063-2821
Country : US
Telephone Number : 612-225-1512
Fax Number : 612-234-4625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 06/11/2009

Similar Medicare Providers

1780300525 — LIDA HAMIDI
Practice Location Address:
1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821
Practice Phone: 866-389-2727
Practice Fax:
1598868267 — SOUTH CAROLINA CVS PHARMACY LLC
Practice Location Address:
1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821
Practice Phone: 803-749-3843
Practice Fax:
1194010769 — JANEEN JENSEN WOOD NP-C
Practice Location Address:
1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821
Practice Phone: 803-749-3840
Practice Fax:
1881934263 — ERIN MAYS SHEALY APRN, FNP
Practice Location Address:
1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821
Practice Phone: 866-389-2727
Practice Fax:
1306254917 — LAURA OUTLAW PHARMD
Practice Location Address:
1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821
Practice Phone: 803-749-3843
Practice Fax:
1013318401 — QUYNH DAO
Practice Location Address:
1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821
Practice Phone: 803-749-3843
Practice Fax:

Directions to “ NINA S ELLISON FNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.