Individual
REBECCA RUTH ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20310 BLUE SAGE PKWY, OMAHA, NE 68130-3746
(402) 559-0111
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1262
NE
Other
Enumeration date
01/22/2007
Last updated
03/01/2020
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