Individual provider · Type 1 NPI
Mark Alan Ellett, AGACNP
Acute Care Nurse Practitioner · Idaho Falls, ID
NPI number
1295402089
Active
Practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
3817 Nora St
Pocatello, ID 83204-2023
Other practice locations
- 3817 Nora St, Pocatello, ID 83204-2023 · (208) 604-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 45067 (ID) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 69540 (ID) |
Acute Care Nurse Practitioner: Definition to come...
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Other acute care nurse practitioner providers in Idaho Falls
- Laxmi BhattariAcute Care Nurse Practitioner Idaho Falls, ID NPI 1366327348
- Samuel Pennington Johnson, NPAcute Care Nurse Practitioner Idaho Falls, ID NPI 1639969637
- Taylor Emery, AGACNP-BCAcute Care Nurse Practitioner Idaho Falls, ID NPI 1750969770
- Wendy Swope, ACNPCAcute Care Nurse Practitioner Idaho Falls, ID NPI 1962522409
- Roberta J. Bostian, AGACNPAcute Care Nurse Practitioner Idaho Falls, ID NPI 1972275501
About NPI 1295402089
Mark Alan Ellett, AGACNP's National Provider Identifier is 1295402089, issued on Aug 27, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 30, 2021.