Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen M Dethloff, NP

Individual provider Nurse Practitioner · NPI 1811106222

Ellen M Dethloff, NP is a Nurse Practitioner in Daytona Beach, Florida. Licensed in Florida and New York. Registered with an NPI since 2007.

Licensed in
FL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

303 N Clyde Morris Blvd # 8E Coordinator Education-Clinical Affiliates
Daytona Beach, FL 32114-2709
Phone: (386) 425-5800
Fax: (386) 425-5801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP 9373273 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 300456 (NY)

Record details

NPI number1811106222
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESApril 14, 2014
Mailing address303 N Clyde Morris Blvd # 8e, Coordinator Education-Clinical Affiliates, Daytona Beach, FL 32114-2709

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