Mark Alan Ellett, AGACNP
Mark Alan Ellett, AGACNP is a Critical Care Medicine Registered Nurse in Idaho Falls, Idaho. Works from 2 locations. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3100 Channing WayIdaho Falls, ID 83404-7533
Phone: (208) 604-1715
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3817 Nora St, Pocatello, ID 83204-2023 — (208) 604-1715
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 69540 (ID) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 45067 (ID) |
Record details
| NPI number | 1295402089 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | August 27, 2021 |
| Last updated in NPPES | August 30, 2021 |
| Certification date | August 30, 2021 |
| Mailing address | 3817 Nora St, Pocatello, ID 83204-2023 |
Other providers in Idaho Falls
-
Cody Lamar Oliverson, CRNA
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6111
-
Jaron Kirk Polatis
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6264