Individual
BRIDGET ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
(417) 269-2235
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018019818
MO
Other
Enumeration date
06/25/2018
Last updated
09/11/2023
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