Individual
CARA JEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6800
Mailing address
1115 1ST ST, BOONE, IA 50036-3626
(515) 298-3347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A161435
IA
Other
Enumeration date
11/10/2020
Last updated
07/03/2023
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