Individual
ALYSSA ANNE J ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
826 N 100 E STE 7, SPANISH FORK, UT 84660-1241
(801) 717-7710
Mailing address
636 S 1400 E, PAYSON, UT 84651-3091
(801) 717-7710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6943430-4405
UT
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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