IndividualActive
Annie Carrico Ellis
NPI 1265153548 · Nutritionist · Capitola, CA
Provider details
- NPI number
- 1265153548
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3908 Alameda Ave Apt a
Capitola, CA 95010-2945
Phone: (408) 239-7224
Approximate (ZIP-level) locationGet directions
Mailing address
3908 Alameda Ave Apt a
Capitola, CA 95010-2945
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.