NPI Registry.org

Candice Ellis

NPI Registration Record

Provider / OrganizationNPIDate Certified
CANDICE ELLIS19225310112021-10-10

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, )

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Candice Ellis APRN
Practice Office Address55 FRUIT ST
BOSTON, MA US
Practice Office Telephone8007114644
Mailing Address55 FRUIT ST
BOSTON, MA 021142696 US
Offices / Locations
AddressCity / StatePhone / Fax
26 Folsom Dr. Newmarket, NH 03857 6039886792
207 S Main St Newmarket, NH 038571843 6036593106 / 6036598003
HPT Codes
CodePractice
License No
State
163W00000X
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
2310377
MA
163W00000X
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
074678-21
NH
363L00000XAccess 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 PRIMARYAccess 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
OPI Codes
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