Most Relevant Information
Provider Data
| NPI Number: | 1003581224 |
| Provider Name: | ELLA NESS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R0057413 |
Most Important Dates
| Enumeration Date: | 08/10/2021 |
| Last Updated: | 08/10/2021 |
Provider Practice Location
23 E ROSS AVE
SAPULPA
OK
740666423
Practice Location Phone/Fax
| Phone: | 9182164999 |
| Fax: |
Provider Mailing Location
23 E ROSS AVE
SAPULPA
OK
740666423
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |