CARISSA ELLSWORTH, PHYSICIAN ASSISTANT
Physician Assistant - Medical
Active
Individual
NPI: 1831458744
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PAC-0481 (ND) |
Frequently Asked Questions
NPI 1831458744 is the National Provider Identifier for CARISSA ELLSWORTH, PHYSICIAN ASSISTANT, a Physician Assistant - Medical provider located in Layton, UT. This NPI was enumerated on May 11, 2012.
CARISSA ELLSWORTH, PHYSICIAN ASSISTANT practices at 1600 W ANTELOPE DR, Layton, UT 84041.
Quick Facts
- NPI
- 1831458744
- Type
- Individual
- Enumerated
- May 11, 2012
- Last Updated
- Oct 23, 2024
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