person
Stephanie Ellis, MSN
Adult Health Nurse Practitioner in Provo, Utah
NPI 1942958673

Stephanie Ellis is an Adult Health Nurse Practitioner based in Salt Lake City, UT and is specialized in Adult Health. Stephanie Ellis practices in Provo, UT and has the professional credentials of MSN. The NPI Number for Stephanie Ellis is 1942958673 and holds a License No. 7558496-4405 (Utah).

The current practice location address for Stephanie Ellis is 395 W Cougar Blvd Ste 104, Provo, UT and can be reached out via phone at 801-357-8200 and via fax at 801-357-8201. You can also correspond with Stephanie Ellis through the mailing address at 1121 E 3900 S STE C230, SALT LAKE CITY, UT - 84124-1297 (mailing address contact number: 801-262-9494).

Location: 395 W Cougar Blvd Ste 104, Provo, UT, 84124-1297
person
Provider Profile Details
NPI Number
1942958673
Provider Name
Stephanie Ellis
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
395 W Cougar Blvd Ste 104, Provo, UT, 84124-1297
Phone Number
801-357-8200
Fax Number
801-357-8201
Provider Enumeration Date
03/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
395 W Cougar Blvd Ste 104
City
State
Zip
84604-3334
Phone Number
801-357-8200
Fax Number
801-357-8201
person
Provider Business Mailing Address Details
Address
1121 E 3900 S Ste C230
City
State
Zip
84124-1297
Phone Number
801-262-9494
Fax Number
866-415-6807
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
7558496-4405 (Utah)
Definition
Definition to come...
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