Ellertson, Carol Ann
Ellertson, Carol Ann is an individual health care provider with primary practice located at 1015 Duff Ave , Ames IA 50010-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ellertson, Carol Ann can be contacted via phone (515) 239-4414.Contact Information
Primary practice address
1015 Duff Ave
Ames IA 50010-3014
Phone: (515) 239-4414
Fax: (515) 239-4786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | B059680 | Iowa |
Profile Details
| NPI number | 1518955822 |
|---|---|
| LBN Legal business name | Ellertson, Carol Ann |
| Credentials | ARNP, MS, CNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 20th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518955822 | NPPES |
| Iowa | MEDICAID | 0419549 |
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