Carol A Ellis NPC

NPI 1194919647 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1194919647
Gender Female
Enumeration Date 08/28/2007
Last Updated 03/08/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
2315 8TH ST
LEWISTON ID, 83501-7301, US
Phone (208) 746-1383
Fax (208) 746-6348
Business Location
2315 8TH ST
LEWISTON ID, 83501-7301, US
Phone (208) 746-1383
Fax (208) 298-4520
Toxanomy
Taxonomy Code 363LA2200X
License State Idaho
License Number NP-825A
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According to our database, Carol A Ellis NPC NPI is 1194919647, taxonomy code is 363LA2200X and license number is NP-825A, license state is located at Idaho. Carol A Ellis NPC physically located at 2315 8th St, Lewiston ID, 83501-7301. NPI Number Carol A Ellis NPC has the Individual type.

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1194919647 NPI number is provided on an as is basis without warranty of any kind. 1194919647 is maintained by the National Plan & Provider Enumeration System. The contents of Carol A Ellis NPC are for informational purposes only.