Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CAROLYN ANN ELLSWORTH, M.D.
ActiveDR. CAROLYN ANN ELLSWORTH, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in WEST PLAINS, Missouri. NPI 1679570618 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · WEST PLAINS, MO
Registration Details
- NPI Number
- 1679570618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2005 (21.137060909249 yrs)
- Last Updated
- Nov 1, 2011
- License
-
102421 (MO)
Practice Information
- Address
-
312 N KENTUCKY STWEST PLAINS, MO, 657752073Browse MO providers · Browse ZIP 65775
- Phone
- 4172577076
- Fax
- 4172571417
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
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.