Ellen M. Dethloff, NP
Nurse Practitioner · Daytona Beach, FL
Practice location
303 N Clyde Morris Blvd # 8eCoordinator Education-Clinical Affiliates
Daytona Beach, FL 32114-2709
- Phone
- (386) 425-5800
- Fax
- (386) 425-5801
NPI record
- NPI
- 1811106222
- Entity type
- Individual (Type 1)
- Enumeration date
- May 22, 2007
- Last updated
- April 14, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
ARNP 9373273 | FL |
| Nurse Practitioner | 363L00000X |
300456 | NY |
About Ellen Dethloff
Ellen M. Dethloff, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 303 N Clyde Morris Blvd # 8e, Coordinator Education-Clinical Affiliates, Daytona Beach, FL 32114-2709. The NPI number 1811106222 was assigned on May 22, 2007 and the record was last updated on April 14, 2014.
Ellen Dethloff lists 2 licenses in the registry: #ARNP 9373273 (FL) for Nurse Practitioner; #300456 (NY) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ellen M. Dethloff, NP?
The NPI number is 1811106222.
What is the phone number of Ellen Dethloff?
The phone number listed for the practice location is (386) 425-5800.
Where is Ellen Dethloff located?
303 N Clyde Morris Blvd # 8e, Coordinator Education-Clinical Affiliates, Daytona Beach, FL 32114-2709.
What is the taxonomy code for Ellen Dethloff?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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