| Doctor Name: | MRS. ELLIE A EBREO |
| NPI Number: | 1164466140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 688312 |
| Business Practice Address: | 420 W Sam Houston St Suite A Pharr, TX - 785775308 |
| Business Phone Number: | 9567824002 |
| Business Fax Number: | 9566876420 |
| Mailing Address: | 2500 Fullerton Ave, MC ALLEN |
| State: | TX |
| Postal Code: | 78504 |
| Phone Number: | 9568675892 |
| Fax Number: | 9566863669 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 688312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |