Lentz, Ellen

Lentz, Ellen is an sole proprietor health care provider with primary practice located at 5461 Mayflower #4 , Wasilla AK 99654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lentz, Ellen can be contacted via phone (907) 376-4644.

Contact Information

Primary practice address
5461 Mayflower #4 Wasilla AK 99654
Phone: (907) 376-4644
Fax: (907) 745-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16188 Alaska

Profile Details

NPI number 1306949193
LBN Legal business name Lentz, Ellen
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1306949193 NPPES
Alaska MEDICAID NP0554
Alaska Other 16188

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