Individual provider · Type 1 NPI

Nora Denise Ellis, PAC

Medical Physician Assistant · Phoenix, AZ

NPI number 1679767636 Active

Practice location

34406 N 27th Dr, Bldg 6, Ste 100
Phoenix, AZ 85085-6082

Fax (480) 350-7540

Mailing address

21001 N Tatum Blvd, Ste 1630-156
Phoenix, AZ 85050-4206

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3675 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1679767636

Nora Denise Ellis, PAC's National Provider Identifier is 1679767636, issued on Sep 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 3, 2014.