Provider Demographics
NPI:1245525393
Name:PRITCHETT, ELLEN
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW TOWERS BUILDING SUITE 4300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-5103
Mailing Address - Country:US
Mailing Address - Phone:202-865-1670
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW TOWERS BUILDING SUITE 4300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-5103
Practice Address - Country:US
Practice Address - Phone:202-865-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD200001398207N00000X
MDD0091888207N00000X
PAMD467432207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology