Individual provider · Type 1 NPI

Brent Angel Ellsworth, PA-C

Physician Assistant · Idaho Falls, ID

NPI number 1831412063 Active

Practice location

2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371

Call (208) 419-3002 Map

Fax (208) 656-5652

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-844 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831412063

Brent Angel Ellsworth, PA-C's National Provider Identifier is 1831412063, issued on Mar 2, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 2, 2022.