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

Ellis Nam, RN

Individual provider Registered Nurse · NPI 1386316818

Ellis Nam, RN is a Registered Nurse in Newburgh, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5 Vineyard Ln Apt 104
Newburgh, NY 12550
Phone: (661) 802-1896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 818207-01 (NY)

Record details

NPI number1386316818
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateSeptember 30, 2021
Mailing address5 Vineyard Ln Apt 104, Newburgh, NY 12550-7064

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