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

Shelly Ann Ellis

Individual provider Registered Nurse · NPI 1215814694

Shelly Ann Ellis is a Registered Nurse in Newington, Connecticut. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

30 Maple Hill Ave
Newington, CT 06111-2719
Phone: (631) 575-7769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 554311 (NY)

Record details

NPI number1215814694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 18, 2025

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