STEPHANIE ELLIS

PROVO, UT
NPI1942958673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: UT  7558496-4405)
Enumeration Date2022-03-11
Last Update Date2022-03-11
Business Address
STEPHANIE ELLIS MSN
395 W COUGAR BLVD STE 104
PROVO, UT 84604-3334
Phone number: 801-357-8200
Mailing Address
STEPHANIE ELLIS MSN
1121 E 3900 S STE C230
SALT LAKE CITY, UT 84124-1297
Phone number: 801-262-9494
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