Individual provider · Type 1 NPI

Carissa Annette Ellsworth, PHYSICIAN ASSISTANT

Medical Physician Assistant · Layton, UT

NPI number 1831458744 Active

Practice location

1600 W Antelope Dr
Layton, UT 84041-1142

Mailing address

1022 28th St W
Williston, ND 58801-2925

Other practice locations

  • 1138 W 3140 N, Pleasant View, UT 84414-2683 · (801) 450-7525

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPAC-0481 (ND)

Medical Physician Assistant: Definition to come...

46 other providers at this address

Other medical physician assistant providers in Layton

See all in Layton →

About NPI 1831458744

Carissa Annette Ellsworth, PHYSICIAN ASSISTANT's National Provider Identifier is 1831458744, issued on May 11, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Layton, UT. The record was last updated on Oct 23, 2024.