IndividualActive
Alex Ellis
NPI 1598445108 · Community Health Worker · Provo, UT
Alex Ellis is a Community Health Worker provider in Provo, UT (NPI 1598445108).
Provider details
- NPI number
- 1598445108
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
180 N University Ave Ste 270
Provo, UT 84601-5648
Phone: (801) 380-8816
Street-level locationGet directions
Mailing address
1134 Cherry Ln
Provo, UT 84604-3626
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.