Laurie Jean Ellis, RN, CDCES
Individual provider Active NPI Registered Nurse · Guernsey, WY
NPI 1891452983 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1891452983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 12870 (WY)
- Practice address
- 24 Miller Road
Guernsey, WY 82214-0902 - Phone
- (307) 331-4256
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12870 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 12870 | WY | Yes |
Addresses
Primary practice location
24 Miller Road
Guernsey, WY 82214-0902
Mailing address
PO Box 902
Guernsey, WY 82214-0902
Phone (307) 331-4256
Other providers in Guernsey, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.