Individual provider · Type 1 NPI
Eddy Elkassis
Nurse Practitioner · Tempe, AZ
Practice location
995 E Baseline Rd Apt 2116
Tempe, AZ 85283-1363
Mailing address
6036 Jennifer Cres
West Bloomfield, MI 48324-3127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704369610 (MI) |
| Nurse Practitioner Primary | 363L00000X | 305068 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1952053258
Eddy Elkassis's National Provider Identifier is 1952053258, issued on Jan 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tempe, AZ. The record was last updated on Nov 2, 2024.