Carol A Ellis in Lewiston - Nurse Practitioner
Carol A Ellis - NPI 1194919647
Carol A Ellis is a Nurse Practitioner in Lewiston, Idaho. Carol A Ellis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carol A Ellis is 1194919647. The last update date is 2016-03-08.
Carol A Ellis's current location address is 2315 8th St, Lewiston, Idaho. You can contact this provider via phone number 2087461383 and fax number 2087466348. The mailing address for Carol A Ellis is 2315 8th St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol A Ellis |
|---|---|
| Address | 2315 8th St, Lewiston, Idaho |
| Phone Number | 2087461383 |
| Fax Number | 2087466348 |
| Sole Proprietor | N |
| Credentials | NPC |
NPI Number Detail
| NPI Number | 1194919647 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2016-03-08 |
Provider Mailing Address Detail
| Address | 2315 8th St |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835017301 |
| Phone Number | 2087461383 |
| Fax Number | 2087466348 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30007996 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807875800 | ID | HEATHLY CONNECTIONS | |
| 1341036 | DMERC | ||
| 807875800 | ID | -- | |
| NPZA5 | ID | BLUE CROSS | |
| 10005325 | ID | REGENCE BLUESHIELD | |
| 226013 | WA | LABOR & INDUSTRIES | |
| 9654294 | WA | -- |
Post Comment/ Review Below
What is the Carol A Ellis's 1194919647?
The Carol A Ellis's NPI (National Provider Identifier) Number is 1194919647. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carol A Ellis is located?
The Carol A Ellis is situated at the following address: 2315 8Th St, Lewiston, ID, 835017301.
What is Carol A Ellis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carol A Ellis is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did Carol A Ellis receive its 1194919647 assignment from the Centers for Medicare & Medicaid Services?
The Carol A Ellis was assigned its 1194919647 on 2007-08-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Carol A Ellis most recently updated or revised?
The details related to Carol A Ellis, including its address, specialty, and other relevant information, were last updated or revised on 2016-03-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN