Nora Denise Ellis is a Medical in Phoenix, Arizona. Nora Denise Ellis practices all healthcare services and medical treatments related to Medical. The NPI Number for Nora Denise Ellis is 1679767636. The last update date is 2014-11-03.
Nora Denise Ellis's current location address is 21001 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6232159951. The mailing address for Nora Denise Ellis is 21001 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nora Denise Ellis |
|---|---|
| Address | 21001 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 6232159951 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1679767636 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2014-11-03 |
Provider Mailing Address Detail
| Address | 21001 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850504206 |
| Phone Number | 6232159951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3675 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z170156 | AZ | MEDICARE PTAN |
Post Comment/ Review Below
What is the Nora Denise Ellis's unique identification number?
The Nora Denise Ellis has been assigned the NPI (National Provider Identifier) Number 1679767636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Nora Denise Ellis located?
The Nora Denise Ellis is located at 21001 N Tatum Blvd, Phoenix, AZ 850504206.
What is Nora Denise Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nora Denise Ellis's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679767636 to Nora Denise Ellis?
The Nora Denise Ellis received its 1679767636 assignment from the Centers for Medicare & Medicaid Services on 2007-09-04.
As of what date were the Nora Denise Ellis's details last updated?
The information pertaining to the Nora Denise Ellis, including its address, specialty, and other details, was most recently updated on 2014-11-03.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY