Ellsworth, Carissa Annette
Ellsworth, Carissa Annette is an individual health care provider with primary practice located at 1600 W Antelope Dr , Layton UT 84041-1142. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ellsworth, Carissa Annette can be contacted via phone (801) 807-7177.Contact Information
Primary practice address
1600 W Antelope Dr
Layton UT 84041-1142
Phone: (801) 807-7177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAC-0481 | North Dakota |
Profile Details
| NPI number | 1831458744 |
|---|---|
| LBN Legal business name | Ellsworth, Carissa Annette |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2012 |
| Last updated | Oct 23rd, 2024 - about 2 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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