SearchTennessee363A00000X

Nicolas Ellsworth

NPI 1477365823 · on the registry since 2025 · sole proprietor

Practice

Address
1610 Madison Ave
Maryville, TN 37804
Phone
(480) 322-5741

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2025-01-23

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 Tennessee