Farnsworth, Ellen Jane

Farnsworth, Ellen Jane is an sole proprietor health care provider with primary practice located at 55 Old Mast Rd Nurse Practitioner Care Llc, Portland ME 04102-1935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Farnsworth, Ellen Jane can be contacted via phone (207) 671-4180.

Contact Information

Primary practice address
55 Old Mast Rd Nurse Practitioner Care Llc Portland ME 04102-1935
Phone: (207) 671-4180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP081049 Maine
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP81049 Maine

Profile Details

NPI number 1962481283
LBN Legal business name Farnsworth, Ellen Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Oct 31st, 2014 - about 10 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 1962481283 NPPES
Maine MEDICAID 431776399

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