MARK ALAN ELLETT AGACNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Acute Care
Provider Information
- NPI Number
1295402089- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGACNP
- Status
- Active
Contact & Location
- Address
- 3100 CHANNING WAY, IDAHO FALLS, ID, 834047533
- Phone
- (208) 604-1715
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: ID #45067
Nurse Practitioner, Acute Care
Primary License: ID #69540