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Search › Idaho › 104100000X

Angela Ellis, LCSW

NPI 1548976202 · on the registry since 2023

Practice

Address
450 E Main St
Rexburg, ID 83440
Phone
(208) 359-7689
Fax
(208) 488-4265
Organisation at this address
Madison Memorial Hospital
Madison Memorial Hospital
Madison Physician Services
Mountain Valley Imaging Llc
Madison Co Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho