Individual provider · Type 1 NPI
Carol A. Ellis, NPC
Adult Health Nurse Practitioner · Lewiston, ID
NPI number
1194919647
Active
Practice location
2315 8th St
Lewiston, ID 83501-7301
Fax (208) 746-6348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP-825A (ID) |
| Nurse Practitioner | 363L00000X | AP30007996 (WA) |
Adult Health Nurse Practitioner: Definition to come...
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- Andrew J. Schug, PACPhysician Assistant Lewiston, ID NPI 1780679068
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About NPI 1194919647
Carol A. Ellis, NPC's National Provider Identifier is 1194919647, issued on Aug 28, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lewiston, ID. The record was last updated on Mar 8, 2016.