Skip Navigation

Provider Information for 1578661120

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ELLEN M CURREY

Other Name:   ELLEN MATTINGLY
Gender: FEMALE

Individual NPI: 1578661120

Calendar   Last Updated:  2015-05-21
  Certification Date: 

Details

Name Value
NPI 1578661120
Enumeration Date 2006-09-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2948 SANDPIPER PL
CLEARWATER, FL 33762-3058
United States

Phone: 727-410-9563 | Fax:
View Map External Link
Primary Practice Address 9009 CORPORATE LAKE DR
TAMPA, FL 33634-2367
United States

Phone: 727-410-9563 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 305725900
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL 1631502
No 363LF0000X - Nurse Practitioner Family KY 3000593