IndividualActive
Carol Ellis, NPC
NPI 1194919647 · Adult Health Nurse Practitioner · Lewiston, ID
Provider details
- NPI number
- 1194919647
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NPC
- Sex
- Female
- Sole proprietor
- No
- License
- NP-825A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2315 8th St
Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Approximate (ZIP-level) locationGet directions
Mailing address
2315 8th St
Lewiston, ID 83501-7301
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2016-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.