person
Carissa Annette Ellsworth, PHYSICIANASSISTANT
Medical Physician Assistant in Layton, Utah
NPI 1831458744

Carissa Annette Ellsworth is a Medical Physician Assistant based in Williston, UT and is specialized in Medical. Carissa Annette Ellsworth practices in Layton, UT and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Carissa Annette Ellsworth is 1831458744 and holds a License No. PAC-0481 (Utah).

The current practice location address for Carissa Annette Ellsworth is 1600 W Antelope Dr, Layton, UT and can be reached out via phone at 801-807-7177.

Location: 1600 W Antelope Dr, Layton, UT, 58801-2925
person
Provider Profile Details
NPI Number
1831458744
Provider Name
Carissa Annette Ellsworth
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
1600 W Antelope Dr, Layton, UT, 58801-2925
Phone Number
801-807-7177
Fax Number
Provider Enumeration Date
05/11/2012
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1600 W Antelope Dr
City
State
Zip
84041-1142
Phone Number
801-807-7177
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Antelope Dr
City
State
Zip
84041-1142
Phone Number
801-807-7177
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC-0481 (North Dakota)
Definition
Definition to come...
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