Individual provider · Type 1 NPI
Shannon Ellis
Contractor · Maricopa, AZ
Practice location
19428 N Maricopa Rd
Maricopa, AZ 85139-2850
Mailing address
4138 E Erie St
Gilbert, AZ 85295-1019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | None listed |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1497698401
Shannon Ellis's National Provider Identifier is 1497698401, issued on Apr 13, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Maricopa, AZ. The record was last updated on Apr 13, 2026.