Individual
LINDSEY ELLINGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
58 N MAIN ST, ROOSEVELT, UT 84066
(435) 823-1371
Mailing address
123 W 975 S # 310-3, ROOSEVELT, UT 84066-3253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6630768-4405
UT
Other
Enumeration date
10/31/2024
Last updated
09/24/2025
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