Ellen Boersma

NURSE PRACTITIONER

500 Doyle Park Dr

Santa Rosa, CA 954054559

**NPI:** 1265684633

**Med School:** OTHER

**Experience:** 17 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

PROVIDENCE MEDICAL FOUNDATION

500 Doyle Park Dr
Santa Rosa, CA 954054559

Phone:

**Group ID:** 8921993205 | **Group Size:** 1329 members

PROVIDENCE MEDICAL FOUNDATION

5150 Hill Rd E, Suite F
Lakeport, CA 954535100

Phone: (707) 262-3060

**Group ID:** 8921993205 | **Group Size:** 1329 members

ADVENTIST HEALTH UKIAH VALLEY Type: Hospital
275 HOSPITAL DRIVE
Phone: (707) 462-3111
Medicare CCN: 050301 View Profile

ADVENTIST HEALTH CLEARLAKE Type: Hospital
15630 18TH AVE - HWY 53
Phone: (707) 994-6486
Medicare CCN: 051317 View Profile

SUTTER LAKESIDE HOSPITAL Type: Hospital
5176 HILL ROAD EAST
Phone: (707) 262-5000
Medicare CCN: 051329 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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