Individual provider · Type 1 NPI

Kristen Ellsworth, FNP

Family Nurse Practitioner · Providence, RI

NPI number 1982215075 Active

Practice location

50 Maude St
Providence, RI 02908-4325

Call (401) 560-9600 Map

Mailing address

90 Fairview Dr
West Kingston, RI 02892-1965

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN02340 (RI)

Family Nurse Practitioner: Definition to come...

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About NPI 1982215075

Kristen Ellsworth, FNP's National Provider Identifier is 1982215075, issued on Aug 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Providence, RI. The record was last updated on Jan 3, 2023.