MEDICARE: BRITNEY ELLIS APRN-CNP

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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0034445	OH
2	163W00000X	Registered Nurse	RN.354838	OH

General Provider Information

NPI Number	:	1326433053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNEY ELLIS APRN-CNP

Provider Business Mailing Address
First Line	:	2323 LAKE CLUB DR STE 106
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3433 AGLER RD STE 1100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3390
Country	:	US
Telephone Number	:	614-453-1065
Fax Number	:	614-453-1078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2015
Last Update Date	:	08/07/2024

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