Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santina Marie Ellison, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932376936

Santina Marie Ellison, MD is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Licensed in Idaho and Utah. Registered with an NPI since 2008.

Licensed in
ID, UT
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M-11508 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 7410499-1205 (UT)

Record details

NPI number1932376936
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESJune 28, 2012

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