Provider Demographics
NPI:1831060268
Name:DANCEL, ELLEN (PHARMD)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:DANCEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 TEMPLE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4332
Mailing Address - Country:US
Mailing Address - Phone:857-998-2354
Mailing Address - Fax:
Practice Address - Street 1:20 PARK PLZ STE 821
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4322
Practice Address - Country:US
Practice Address - Phone:857-350-9106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000045950183500000X
MAPH26581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist