Individual
SARAH ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3101
(207) 834-2917
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3101
(207) 834-2917
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP131100
ME
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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