Individual provider · Type 1 NPI
Kenzie Ellsworth, FNP-C
Family Nurse Practitioner · San Tan Valley, AZ
NPI number
1487577383
Active
Practice location
40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Mailing address
525 W Brown Rd
Mesa, AZ 85201-3202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 235334 (AZ) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1487577383
Kenzie Ellsworth, FNP-C's National Provider Identifier is 1487577383, issued on Jul 30, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jul 30, 2026.