Ellis, Laurie
Ellis, Laurie is an individual health care provider with primary practice located at 3920 S 1100 E , Salt Lake City UT 84124-1213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellis, Laurie can be contacted via phone (801) 266-8841.Contact Information
Primary practice address
3920 S 1100 E
Salt Lake City UT 84124-1213
Phone: (801) 266-8841
Fax: (801) 266-0449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2211674405 | Utah |
Profile Details
NPI number | 1770578254 |
---|---|
LBN Legal business name | Ellis, Laurie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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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