SHIRLEY B ELLSWORTH

PROVO, UT
NPI1942302658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  2629084405)
Enumeration Date2006-09-02
Last Update Date2007-10-16
Business Address
-- SHIRLEY B ELLSWORTH NP
1055 N 500 W SUITE 202
PROVO, UT 84604-3305
Phone number: 801-374-2367
Mailing Address
-- SHIRLEY B ELLSWORTH NP
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8215
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