Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL A ELLIS, NPC
ActiveAdult Health Nurse Practitioner · LEWISTON, ID
Registration Details
- NPI Number
- 1194919647
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2007 (18.657281666243 yrs)
- Last Updated
- Mar 8, 2016
- Licenses
-
NP-825A (ID)AP30007996 (WA)
Practice Information
- Address
-
2315 8TH STLEWISTON, ID, 835017301Browse ID providers · Browse ZIP 83501
- Phone
- 2087461383
- Fax
- 2087466348
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.