IndividualActive
Andrea Ellis
NPI 1629472550 · Primary Care Nurse Practitioner · Aiken, SC
Provider details
- NPI number
- 1629472550
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 18950 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3000 Woodside Executive Ct
Aiken, SC 29803-3831
Phone: (803) 226-0343
Fax: (803) 226-0584
Approximate (ZIP-level) locationGet directions
Mailing address
3000 Woodside Executive Ct
Aiken, SC 29803-3831
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.