NPI
Heidi Lynn Ellwood
NPI 1386766335
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MPT
- Type
- Individual
- Enumeration date
- 2007-04-03
- Last updated
- 2007-07-08
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Specialties
Licenses
- License MO
- 2005019387
Location
- Practice location
- 20270 Harlequin Ln
- City
- Dixon MO
- Postal code
- 65459-7524
- Phone
- (573) 336-4965
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Dixon, MO. 21 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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