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

STEPHANIE ELLIS, MSN

Active

Adult Health Nurse Practitioner · PROVO, UT

Registration Details

NPI Number
1942958673
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2022 (4.1226788746949 yrs)
Last Updated
Mar 11, 2022
License
7558496-4405 (UT)

Practice Information

Address
395 W COUGAR BLVD STE 104
PROVO, UT, 846043334
Browse UT providers · Browse ZIP 84604
Phone
8013578200
Fax
8013578201
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in PROVO, UT

Name Credential NPI
MR. KRAIG LYNN PACKER NPC 1518959535
MARIA ELENA BLACK APRN, MSN 1932355740
MR. DARCY T TROTTER APRN-BC 1215244967
JOAN M COLLETT NP 1164703328
AMBER ELEXIS MARSH FNP-C 1023575172
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.