Ellis, Stephanie

Ellis, Stephanie is an individual health care provider with primary practice located at 395 W Cougar Blvd Ste 104 , Provo UT 84604-3334. 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. Ellis, Stephanie can be contacted via phone (801) 357-8200.

Contact Information

Primary practice address
395 W Cougar Blvd Ste 104 Provo UT 84604-3334
Phone: (801) 357-8200
Fax: (801) 357-8201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 7558496-4405 Utah

Profile Details

NPI number 1942958673
LBN Legal business name Ellis, Stephanie
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2022
Last updated Mar 11th, 2022 - about 4 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.

Request for update

Popular Providers