IndividualActive
Erica Ellicott, PA-C
NPI 1902299860 · Physician Assistant · Mc Cook, NE
Provider details
- NPI number
- 1902299860
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1908 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
801 W C St
Mc Cook, NE 69001-3591
Phone: (308) 777-2476
Fax: (308) 223-5752
Approximate (ZIP-level) locationGet directions
Mailing address
136 W 12th St
Imperial, NE 69033-3112
Additional practice locations (1)
- 2601 N Spruce StOgallala, NE 69153-2465Phone: (308) 284-4011
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.