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NPI Code Detail

MEDICARE: CHRISTINE ELLIS RN-SNM

MEDICARE:   CHRISTINE  ELLIS  RN-SNM
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
1390200000XStudent in an Organized Health Care Education/Training Program728303TX

General Provider Information

NPI Number : 1396677563
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ELLIS RN-SNM
Provider Business Mailing Address
First Line : 1849 MARSHALL ST APT 3
Second Line :
City : HOUSTON
State : TX
Zip : 77098-2616
Country : US
Telephone Number : 832-465-8355
Fax Number :
Provider Business Practice Location Address
First Line : 1849 MARSHALL ST APT 3
Second Line :
City : HOUSTON
State : TX
Zip : 77098-2616
Country : US
Telephone Number : 832-465-8355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ CHRISTINE ELLIS RN-SNM” Practice Location

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