Ellam, Laurie A

Ellam, Laurie A is an sole proprietor health care provider with primary practice located at 607 Washington Hwy , Morrisville VT 05661-8652. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ellam, Laurie A can be contacted via phone (802) 888-8320.

Contact Information

Primary practice address
607 Washington Hwy Morrisville VT 05661-8652
Phone: (802) 888-8320
Fax: (802) 888-8136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 101.0134947 Vermont

Profile Details

NPI number 1770251860
LBN Legal business name Ellam, Laurie A
Credentials APRN-PMHNP -BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2021
Last updated Oct 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770251860 NPPES
Vermont MEDICAID 6708137

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