Individual
MS. CAROL ANN ELLERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, MS, CNM
Contact information
Practice address
1015 DUFF AVE, AMES, IA 50010-3014
(515) 239-4414
(515) 239-4786
Mailing address
1015 DUFF AVE, AMES, IA 50010-3014
(515) 239-4414
(515) 239-4786
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
B059680
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419549
—
IA
Enumeration date
10/11/2005
Last updated
07/20/2012
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