NPI 1043686116

Megan Ellis

Practitioner Contractor Clarendon, AR

Practice location

Address: 545 N Main St, Clarendon, AR 72029-2017
Phone: (870) 830-6805

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence PT2580 (AR)

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Registry record

NPI: 1043686116
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2015
Record last updated: 12 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.