| Carol A Ellis, NPC | |
|
2315 8th St, Lewiston, ID 83501-7301 | |
| (208) 746-1383 | |
| (208) 746-6348 |
| Full Name | Carol A Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2315 8th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194919647 | NPI | - | NPPES |
| 807875800 | Other | ID | HEATHLY CONNECTIONS |
| 1341036 | Other | DMERC | |
| 807875800 | Medicaid | ID | |
| NPZA5 | Other | ID | BLUE CROSS |
| 000010005325 | Other | ID | REGENCE BLUESHIELD |
| 0226013 | Other | WA | LABOR & INDUSTRIES |
| 9654294 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | NP-825A (Idaho) | Primary |
| 363L00000X | Nurse Practitioner | AP30007996 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Ellis, NPC 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Carol A Ellis, NPC 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Robert Scott Mahal, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 |