MEDICARE: LAURIE ELLIS N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2211674405	UT

General Provider Information

NPI Number	:	1770578254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE ELLIS N.P.

Provider Business Mailing Address
First Line	:	3920 S 1100 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1213
Country	:	US
Telephone Number	:	801-266-8841
Fax Number	:	801-266-0449

Provider Business Practice Location Address
First Line	:	3920 S 1100 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1213
Country	:	US
Telephone Number	:	801-266-8841
Fax Number	:	801-266-0449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1538153234 — DR. LEONARD J SWINYER M.D.
Practice Location Address:

3920 S 1100 E , SUITE 310
SALT LAKE CITY, UT
84124-1213

Practice Phone: 801-266-8841
Practice Fax: 801-266-0449

1154380772 — DR. SCOTT RAYMOND STEIN D.D.S.
Practice Location Address:

3920 S 1100 E , #370
SALT LAKE CITY, UT
84124-1213

Practice Phone: 801-268-3516
Practice Fax: 801-268-3533

1689611824 — MAX E. JONES D.P.M.
Practice Location Address:

3920 S 1100 E , #115
SALT LAKE CITY, UT
84124-1213

Practice Phone: 801-268-9415
Practice Fax: 801-268-0423

1790724847 — MR. MICHAEL RICHARD SWINYER P.A.
Practice Location Address:

3920 S 1100 E , SUITE 310
SALT LAKE CITY, UT
84124-1213

Practice Phone: 801-266-8841
Practice Fax:

1598087603 — KARL E. LIND DDS, INC
Practice Location Address:

3920 S 1100 E , STE 150
SALT LAKE CITY, UT
84124-1213

Practice Phone: 801-262-7447
Practice Fax: 801-262-7450

1497164180 — GITANJALI SHARMA ACNP-BC
Practice Location Address:

3920 S 1100 E , STE 250
SALT LAKE CITY, UT
84124-1213

Practice Phone: 801-308-8400
Practice Fax: 801-349-2849

Directions to “ LAURIE ELLIS N.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.