Provider / Organization | NPI | Date Certified |
---|---|---|
CANDICE ELLIS | 1922531011 | 2023-07-24 |
Candice Ellis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922531011. Registration indicates Candice Ellis is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Candice Ellis APRN |
Practice Office Address | 22 BRAMHALL ST PORTLAND, ME US |
Practice Office Telephone | 2076623500 |
Mailing Address | 22 BRAMHALL ST PORTLAND, ME 041023175 US |
Business Telephone | 2076623500 |
Address | City / State | Phone / Fax |
---|---|---|
26 Folsom Dr. | Newmarket, NH 03857 | 6039886792 |
207 S Main St | Newmarket, NH 038571843 | 6036593106 / 6036598003 |
Code | Practice | License No State |
---|---|---|
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 074678-21
NH |
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 2310377
MA |
363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 074678-23
NH |
363LP2300X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN2310377
MA |
363LP2300X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CNP231278
ME |