Ellsworth, Patricia

Ellsworth, Patricia is an individual health care provider with primary practice located at 2132 N 1700 W Ste 110, Layton UT 84041-7059. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellsworth, Patricia can be contacted via phone (801) 779-3500.

Contact Information

Primary practice address
2132 N 1700 W Ste 110 Layton UT 84041-7059
Phone: (801) 779-3500
Fax: (801) 779-3508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5232048-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5232048-4405 Utah
Nursing Service Providers / Registered Nurse 163W00000X 5232048 Utah

Profile Details

NPI number 1578086740
LBN Legal business name Ellsworth, Patricia
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578086740 NPPES
Utah MEDICAID 1578086740

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