SHANNA ELLIS RN
NPI 1770171522
Registered Nurse - Medical-Surgical in Louisville, KY
Active since January 07, 2021
About Shanna Ellis Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNA ELLIS RN (NPI 1770171522) is an individual medical-surgical provider in Louisville, Kentucky, licensed in Kentucky (1119268) and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1770171522
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameSHANNA ELLISCredential: RN
Location Address5405 RURAL WAYLouisville, KY 40218-4247
Mailing Address5405 Rural WayLouisville, KY 40218-4247
Phone(502) 741-0193
Sole ProprietorYes
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1770171522 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in KY · 1119268
5405 RURAL WAY, Louisville, KY 40218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770171522, enumerated as an "individual" on January 07, 2021.
The provider is located at 5405 RURAL WAY LOUISVILLE, KY 40218 and the phone number is (502) 741-0193.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
