Individual provider · Type 1 NPI
Victoria Ezelle Ebanks, RN
Ambulatory Care Registered Nurse · Phoenix, AZ
NPI number
1770633141
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Mailing address
888 E Clinton St, # 1141
Phoenix, AZ 85020-5802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 158731 (NC) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1770633141
Victoria Ezelle Ebanks, RN's National Provider Identifier is 1770633141, issued on Jan 10, 2007. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.