Provider Demographics
NPI:1558023416
Name:ELLEN WRIGHT LLC
Entity Type:Organization
Organization Name:ELLEN WRIGHT LLC
Other - Org Name:SYMPATHY HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:808-346-7910
Mailing Address - Street 1:3002 HICKORY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-8507
Mailing Address - Country:US
Mailing Address - Phone:808-346-7910
Mailing Address - Fax:702-462-4217
Practice Address - Street 1:3002 HICKORY VALLEY RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-8507
Practice Address - Country:US
Practice Address - Phone:702-462-4217
Practice Address - Fax:702-268-7973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-08
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1033273412OtherHMSA