Provider Demographics
NPI:1013198605
Name:ALLISON, ELLEN CATHLEEN (RNCWHCNP)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:CATHLEEN
Last Name:ALLISON
Suffix:
Gender:F
Credentials:RNCWHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N MACARTHUR BLVD
Mailing Address - Street 2:STE 540
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2256
Mailing Address - Country:US
Mailing Address - Phone:972-253-5000
Mailing Address - Fax:972-253-1109
Practice Address - Street 1:2001 N MACARTHUR BLVD
Practice Address - Street 2:STE 540
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2256
Practice Address - Country:US
Practice Address - Phone:972-253-5000
Practice Address - Fax:972-253-1109
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-25
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607332363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health