IndividualActive
Alexandra Ellison, CRNP
NPI 1104257286 · Pediatric Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1104257286
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP013363 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3601 a St
Philadelphia, PA 19134-1043
Phone: (215) 427-8187
Approximate (ZIP-level) locationGet directions
Mailing address
3601 a St
Philadelphia, PA 19134-1043
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2014-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.