| Doctor Name: | ELLA BRUTON |
| NPI Number: | 1508061458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1600092 |
| Business Practice Address: | 109 Cedar St. Mount Gilead, NC - 27306 |
| Business Phone Number: | 9104394522 |
| Business Fax Number: | |
| Mailing Address: | Po Box 187, MOUNT GILEAD |
| State: | NC |
| Postal Code: | 273060187 |
| Phone Number: | 9104394522 |
| Fax Number: | 9104396926 |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 376G00000X |
| License Number: | 1600092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Nursing Home Administrator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |