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Mark Alan Ellett, AGACNP
Acute Care Nurse Practitioner in Idaho Falls, Idaho
NPI 1295402089

Mark Alan Ellett is an Acute Care Nurse Practitioner based in Pocatello, ID and is specialized in Acute Care. Mark Alan Ellett practices in Idaho Falls, ID and has the professional credentials of AGACNP. The NPI Number for Mark Alan Ellett is 1295402089 and holds a License No. 45067 (Idaho).

The current practice location address for Mark Alan Ellett is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-604-1715. You can also correspond with Mark Alan Ellett through the mailing address at 3817 NORA ST, POCATELLO, ID - 83204-2023 (mailing address contact number: 208-604-1715).

Location: 3100 Channing Way, Idaho Falls, ID, 83204-2023
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Provider Profile Details
NPI Number
1295402089
Provider Name
Mark Alan Ellett
Credential
AGACNP
Provider Entity Type
Individual
Gender
Male
Address
3100 Channing Way, Idaho Falls, ID, 83204-2023
Phone Number
208-604-1715
Fax Number
Provider Enumeration Date
08/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-604-1715
Fax Number
person
Provider Business Mailing Address Details
Address
3817 Nora St
City
State
Zip
83204-2023
Phone Number
208-604-1715
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
License No.
69540 (Idaho)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
45067 (Idaho)
Definition
Definition to come...
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