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1487248373 NPI number — CHELSEA LEE ELLSWORTH DNP, FNP-C, APRN

NPI Number: 1487248373
Health Care Provider/Practitioner: CHELSEA LEE ELLSWORTH DNP, FNP-C, APRN

Information about “1487248373” NPI (CHELSEA LEE ELLSWORTH DNP, FNP-C, APRN) exists in 1487248373 in HTML format HTML  |  1487248373 in plain Text format TXT  |  1487248373 in PDF (Portable Document Format) PDF  |  1487248373 in an XML format XML  formats.

NPI Number : 1487248373 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487248373",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELLSWORTH",
    "FirstName": "CHELSEA",
    "MiddleName": "LEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP, FNP-C, APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MALNAR",
    "OtherFirstName": "CHELSEA",
    "OtherMiddleName": "LEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 160",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT DUCHESNE",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84026-0160",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "435-725-6850",
    "MailingAddressFaxNumber": "435-725-6897",
    "FirstLinePracticeLocationAddress": "6932 E 1400 S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT DUCHESNE",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84026",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "435-725-6850",
    "PracticeLocationAddressFaxNumber": "435-725-6897",
    "EnumerationDate": "02/22/2021",
    "LastUpdateDate": "04/03/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "9404070-4405",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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