Individual
DR. PATRICIA ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2132 N 1700 W, STE 110, LAYTON, UT 84041-7059
(801) 779-3500
(801) 779-3508
Mailing address
2344 N 840 W, CLINTON, UT 84015-9726
(801) 540-2698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5232048
UT
363L00000X
Nurse Practitioner
Primary
5232048-4405
UT
363LF0000X
Family Nurse Practitioner
5232048-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578086740
—
UT
Enumeration date
07/19/2017
Last updated
06/01/2022
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