Individual
MS. SARAH ELLEN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
046070-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075352
—
NH
Enumeration date
10/24/2006
Last updated
04/03/2014
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