Individual provider · Type 1 NPI

Stephanie Ellis, MSN

Adult Health Nurse Practitioner · Provo, UT

NPI number 1942958673 Active

Practice location

395 W Cougar Blvd Ste 104
Provo, UT 84604-3334

Call (801) 357-8200 Map

Fax (801) 357-8201

Mailing address

1121 E 3900 S Ste C230
Salt Lake City, UT 84124-1297

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	7558496-4405 (UT)

Adult Health Nurse Practitioner: Definition to come...

Another provider at this address

Christian Louis Barney, MDRadiation Oncology Physician Provo, UT NPI 1538504436

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About NPI 1942958673

Stephanie Ellis, MSN's National Provider Identifier is 1942958673, issued on Mar 11, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Provo, UT. The record was last updated on Mar 11, 2022.