Ellis, Carrie Susanne

Ellis, Carrie Susanne is an individual health care provider with primary practice located at 1 Hoag Dr , Newport Beach CA 92663-4162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ellis, Carrie Susanne can be contacted via phone (949) 764-5588.

Contact Information

Primary practice address
1 Hoag Dr Newport Beach CA 92663-4162
Phone: (949) 764-5588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95030685 California

Profile Details

NPI number 1376372557
LBN Legal business name Ellis, Carrie Susanne
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2024
Last updated Jan 21st, 2026 - about 10 months 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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