National Provider Identifier
Tristan Ellison
Tristan Ellison is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 755-3823.
Profile Overview
- NPI
- 1730485251
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 31, 2011
- Last Updated
- January 31, 2011
Practice Location
- 19 Acorn Valley Trl
- Rochester, NY 14624-1935
Phone: (585) 755-3823
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1730485251
- Entity Type
- Individual
- Last Name
- Ellison
- First Name
- Tristan
- Mailing Street Address
- 19 Acorn Valley Trl
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1935
- Mailing Country
- US
- Mailing Phone
- (585) 755-3823
- Practice Street Address
- 19 Acorn Valley Trl
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1935
- Practice Country
- US
- Practice Phone
- (585) 755-3823
- Enumeration Date
- January 31, 2011
- Last Updated
- January 31, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 10 303992 (NY)