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John Ellis

NPI 1790421626 · on the registry since 2022

Practice

Address: 7050 S Highland Dr Ste 210
Salt Lake City, UT 84121
Phone: (801) 878-4081
Fax: (801) 583-2500
Organisation at this address: Creek Capital Cottonwood Llc
Cottonwood Pediatric Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-24

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 Utah