Dr KATHA DARLENE ELLIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
1255 GOLFVIEW AVE
BARTOW
FL
338306736
Tel: 8634992520
| Npi | 1841658135 |
| Pac Id | 4486953031 |
| Professional Enrollment Id | I20160503000965 |
| Last Name | ELLIS |
| First Name | KATHA |
| Middle Name | DARLENE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC |
| Group Practice Pac Id | 7719877927 |
| Number Of Group Practice Members | 22 |
| Line 1 Street Address | 1255 GOLFVIEW AVE |
| Line 2 Street Address | |
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| City | BARTOW |
| State | FL |
| Zip Code | 338306736 |
| Phone Number | 8634992520 |
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| Professional Accepts Medicare Assignment | Y |
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