Paget, Ellen Connolly

Paget, Ellen Connolly is an individual health care provider with primary practice located at 2347 E Gala St , Meridian ID 83642-4881. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Paget, Ellen Connolly can be contacted via phone (208) 323-3767.

Contact Information

Primary practice address
2347 E Gala St Meridian ID 83642-4881
Phone: (208) 323-3767
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60396775 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 67910 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60396775 Washington

Profile Details

NPI number 1790106813
LBN Legal business name Paget, Ellen Connolly
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2013
Last updated Dec 30th, 2021 - about 3 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 1790106813 NPPES
Washington MEDICAID 1790106813

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