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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK ALAN ELLETT, AGACNP

Active

MARK ALAN ELLETT, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in IDAHO FALLS, Idaho. NPI 1295402089 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · IDAHO FALLS, ID

Registration Details

NPI Number
1295402089
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2021 (4.9255952684923 yrs)
Last Updated
Aug 30, 2021
Licenses
45067 (ID)
69540 (ID)

Practice Information

Address
3100 CHANNING WAY
IDAHO FALLS, ID, 834047533
Browse ID providers · Browse ZIP 83404
Phone
2086041715
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in IDAHO FALLS, ID

Name Credential NPI
WENDY SWOPE ACNPC 1962522409
TAYLOR EMERY AGACNP-BC 1750969770
ROBERTA J. BOSTIAN AGACNP 1972275501
SAMUEL PENNINGTON JOHNSON NP 1639969637
LAXMI BHATTARI 1366327348
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.