Individual provider · Type 1 NPI
Azadeh Ellsworth, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Ventura, CA
NPI number
1730747239
Active
Practice location
1752 S Victoria Ave Ste 250
Ventura, CA 93003
Other practice locations
- 243 Riverdale Ct Apt 418, Camarillo, CA 93012-7791 · (805) 559-5058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95011907 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1730747239
Azadeh Ellsworth, PMHNP's National Provider Identifier is 1730747239, issued on May 31, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ventura, CA. The record was last updated on Aug 27, 2019.