# MS. DEBORAH MARIE ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376746883
- **Gender:** F
- **Credential:** CNM APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2206804405 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 220680-4405 | UT | Yes |
| 367A00000X | Advanced Practice Midwife | 2206804402 | UT | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 02/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1841250602 | NPI FOR LEON HANSEN | UT |