Ellis, Candice

Ellis, Candice is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3175. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ellis, Candice can be contacted via phone (207) 662-3500.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3175
Phone: (207) 662-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 074678-21 New Hampshire
Nursing Service Providers / Registered Nurse 163W00000X 2310377 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 074678-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN2310377 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X CNP231278 Maine

Profile Details

NPI number 1922531011
LBN Legal business name Ellis, Candice
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Jul 24th, 2023 - about last year

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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