Search › Idaho › 363LA2100X
Mark Ellett, AGACNP
NPI 1295402089 · on the registry since 2021
Practice
- Address
- 3100 Channing Way
Idaho Falls, ID 83404 - Phone
- (208) 604-1715
- Organisation at this address
- Kenneth E Krell Md Pa
Ihc Health Services Inc
Neonatal Associates, Pllc
Intermountain Anesthesia, Pa
Eastern Idaho Intensivist LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 206
Additional practice sites
- 3817 Nora St, Pocatello, ID
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163WC0200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho