Ellis, Delores Marie

Ellis, Delores Marie is an sole proprietor health care provider with primary practice located at 3601 S 6Th Ave 11-136B4, Tucson AZ 85723-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ellis, Delores Marie can be contacted via phone (520) 792-1450.

Contact Information

Primary practice address
3601 S 6Th Ave 11-136B4 Tucson AZ 85723-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN101641 Arizona

Profile Details

NPI number 1619933405
LBN Legal business name Ellis, Delores Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Dec 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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