Individual provider · Type 1 NPI

Ellen Mary Bando, PA

Physician Assistant · Fort Defiance, AZ

NPI number 1699765057 Active

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504-0649

Fax (928) 729-3355

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0569 (NH)
Physician Assistant 363A00000X055-0030836 (VT)
Physician Assistant Primary 363A00000X2333 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699765057

Ellen Mary Bando, PA's National Provider Identifier is 1699765057, issued on Oct 26, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Defiance, AZ. The record was last updated on May 19, 2025.