Individual
EDITH ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
724 46TH ST S, GREAT FALLS, MT 59405-3706
(406) 217-4073
Mailing address
724 46TH ST S, GREAT FALLS, MT 59405-3706
(406) 217-4073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-99966
MT
Other
Enumeration date
12/12/2007
Last updated
01/22/2017
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