Individual provider · Type 1 NPI
Stephanie Ellis, CRNP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1992351209
Active
Practice location
5102 W Campbell Ave
Phoenix, AZ 85031-1703
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Other practice locations
- 1051 Country Club Rd, Monongahela, PA 15063-1553 · (724) 258-8014
- 640 Jefferson Ave, Washington, PA 15301-4119 · (724) 222-6603
- 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 · (724) 941-4070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP020669 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 24866 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1992351209
Stephanie Ellis, CRNP's National Provider Identifier is 1992351209, issued on Aug 13, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 21, 2020.