Mark Alan Ellett, AGACNP
NPI #1295402089 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1295402089
- Entity Type
- Individual
- Name
- Mark Alan Ellett, AGACNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- AGACNP
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Aug 30, 2021
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 604-1715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Critical Care Medicine — Critical Care Medicine |
| Nurse Practitioner - Acute Care — Acute Care |
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