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DENISE ELLIS AGAC-NP-BC NPI 1962968156


NPI Information

NPI: 1962968156
Provider Name: DENISE ELLIS, AGAC-NP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
258 S CHICKASAW TRL STE 202
ORLANDO, FL
ZIP 32825
Phone: (407) 303-6865
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Denise Ellis, AGAC-NP-BC is a gerontology nurse practitioner in Orlando, FL with 6 years of experience. Denise Ellis, AGAC-NP-BC NPI is 1962968156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

258 S CHICKASAW TRL STE 202
ORLANDO, FL
ZIP 32825-501
Phone: (407) 303-6865
Fax: (407) 303-6537

The NPI 1962968156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2019 and was last updated on 10/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyAPRN11019533FLORIDAYes
2363L00000XNurse PractitionerAPRN11019533FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.