NPC Carol A Ellis, NPI 1194919647
Adult Health Nurse Practitioner in Lewiston, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1194919647
NPI Entity Type Individual
Provider Name NPC Carol A Ellis
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2315 8th St, Lewiston, ID, US
Provider Mailing Address 2315 8th St, Lewiston, ID, US, 835017301
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LA2200X

Taxonomy Name Adult Health Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. NP-825A
License State ID
Description Definition to come...

Business Address

NPC Carol A Ellis
2315 8th St

Lewiston, ID, US

Phone: 208-746-1383
Fax: 208-746-6348

Mailing Address

NPC Carol A Ellis
2315 8th St
Lewiston, ID, US
ZIP 835017301
Phone: 208-746-1383
Fax: 208-746-6348

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363L00000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

AP30007996 WA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
807875800 ID HEATHLY CONNECTIONS 01
1341036 DMERC 01
807875800 ID MEDICAID 05
NPZA5 ID BLUE CROSS 01
000010005325 ID REGENCE BLUESHIELD 01
0226013 WA LABOR & INDUSTRIES 01
9654294 WA MEDICAID 05

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Organization

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Organization

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Ste. B

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