Individual provider · Type 1 NPI

Kimberly Maxine Ellis

Nurse's Aide · Los Angeles, CA

NPI number 1154073385 Active

Practice location

2070 Century Park E
Los Angeles, CA 90067-1907

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X01122219 (CA)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1154073385

Kimberly Maxine Ellis's National Provider Identifier is 1154073385, issued on Jan 19, 2022. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 19, 2022.