Ellis, Deborah Marie

Ellis, Deborah Marie is an individual health care provider with primary practice located at 1225 E Fort Union Blvd Ste 215, Cottonwood Heights UT 84047-1889. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ellis, Deborah Marie can be contacted via phone (801) 233-4200.

Contact Information

Primary practice address
1225 E Fort Union Blvd Ste 215 Cottonwood Heights UT 84047-1889
Phone: (801) 233-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2206804405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2206804402 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 220680-4405 Utah

Profile Details

NPI number 1376746883
LBN Legal business name Ellis, Deborah Marie
Credentials CNM APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Feb 29th, 2016 - about 9 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 1376746883 NPPES
Utah Other 1841250602 NPI FOR LEON HANSEN

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