Ellen Ray

Pediatric Nurse Practitioner · Cottleville, MO

Individual Active NPI

NPI number 1932880333

Practice location

4525 Mid Rivers Mall Dr Ste 10
Cottleville, MO 63376-2820
Phone
(636) 229-3350

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NPI record

NPI
1932880333
Entity type
Individual (Type 1)
Enumeration date
July 27, 2023
Last updated
August 31, 2023
Certified
August 31, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 2023033858 MO
Emergency Registered Nurse 163WE0003X 2005005840 MO

Mailing address

PO Box 776084
Chicago, IL 60677-6442
Phone
(636) 229-3350
Fax
(636) 229-3355

About Ellen Ray

Ellen Ray is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 4525 Mid Rivers Mall Dr Ste 10, Cottleville, MO 63376-2820. The NPI number 1932880333 was assigned on July 27, 2023 and the record was last updated on August 31, 2023.

Ellen Ray lists 2 licenses in the registry: #2023033858 (MO) for Pediatric Nurse Practitioner; #2005005840 (MO) for Emergency Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Ray?

The NPI number is 1932880333.

What is the phone number of Ellen Ray?

The phone number listed for the practice location is (636) 229-3350.

Where is Ellen Ray located?

4525 Mid Rivers Mall Dr Ste 10, Cottleville, MO 63376-2820.

What is the taxonomy code for Ellen Ray?

The primary taxonomy code is 363LP0200X – Pediatric 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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