Ross Ellis Nisly Valid NPI

Individual provider · Registered Nurse · San Bernardino, CA

NPI

1982935763

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

550198 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2010-01-19

Last updated

2010-01-19