Shirley B Ellsworth in Provo - Nurse Practitioner
Shirley B Ellsworth - NPI 1942302658
Shirley B Ellsworth is a Nurse Practitioner in Provo, Utah. Shirley B Ellsworth practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shirley B Ellsworth is 1942302658. The last update date is 2007-10-16.
Shirley B Ellsworth's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8013742367 and fax number 8014298015. The mailing address for Shirley B Ellsworth is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley B Ellsworth |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8013742367 |
| Fax Number | 8014298015 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1942302658 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8013742367 |
| Fax Number | 8014298015 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2629084405 |
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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 |
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What is the unique 10-digit identification code assigned to Shirley B Ellsworth by the Centers for Medicare & Medicaid Services?
The Shirley B Ellsworth has been issued the NPI (National Provider Identifier) 1942302658, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shirley B Ellsworth?
The Shirley B Ellsworth is situated at 1055 N 500 W, in the city of Provo, state of UT, with the zip code 846043305.
What is Shirley B Ellsworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shirley B Ellsworth is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942302658 to Shirley B Ellsworth?
The Shirley B Ellsworth received its 1942302658 assignment from the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date were the Shirley B Ellsworth's details last updated?
The information pertaining to the Shirley B Ellsworth, including its address, specialty, and other details, was most recently updated on 2007-10-16.