Individual provider · Type 1 NPI

Nellisa Ebanks

Registered Nurse · Alhambra, CA

NPI number 1073480265 Active

Practice location

100 S Raymond Ave
Alhambra, CA 91801-3166

Call (310) 596-9776 Map

Mailing address

111 E Carson St Ste 8
Carson, CA 90745-7728

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95128237 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073480265

Nellisa Ebanks's National Provider Identifier is 1073480265, issued on Oct 21, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Alhambra, CA. The record was last updated on Oct 21, 2025.