Most Relevant Information
Provider Data
| NPI Number: | 1003530668 |
| Provider Name: | REBECCA FAITH ELLENS DNP, APRN, CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | NUR-APRN-LIC-198093 |
Most Important Dates
| Enumeration Date: | 09/28/2022 |
| Last Updated: | 09/28/2022 |
Provider Practice Location
280 W KAGY BLVD STE G
BOZEMAN
MT
597156056
Practice Location Phone/Fax
| Phone: | 4065875870 |
| Fax: | 4065221536 |
Provider Mailing Location
280 W KAGY BLVD STE G
BOZEMAN
MT
597156056
Provider Mailing Phone/Fax
| Phone: | 4065875870 |
| Fax: | 4065221536 |