Individual provider · NPI-1

Dr. Rebecca Faith Ellens, DNP, APRN, CPNP-PC

Nurse Practitioner, Pediatrics · Bozeman, MT

NPI number1003530668
StatusActive
Last updated in NPPESSep 28, 2022

Details

NPI
1003530668
Entity type
Individual (NPI-1)
Name
Dr. Rebecca Faith Ellens
Credential
DNP, APRN, CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2022
Certification date
Sep 28, 2022
Last updated
Sep 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsNUR-APRN-LIC-198093MTYes

Other names

  • Rebecca Faith Sandstrom (Former Name)

Practice location

280 W Kagy Blvd Ste G
Bozeman, MT 59715-6056

Phone 406-587-5870 · Fax 406-522-1536

Mailing address

280 W Kagy Blvd Ste G
Bozeman, MT 59715-6056

Phone 406-587-5870 · Fax 406-522-1536

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