Ellsworth, Tatianna

Ellsworth, Tatianna is an individual health care provider with primary practice located at 480 Central Ave , Pearl Harbor HI 96860-4908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellsworth, Tatianna can be contacted via phone (808) 473-2285.

Contact Information

Primary practice address
480 Central Ave Pearl Harbor HI 96860-4908
Phone: (808) 473-2285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95001023 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95001023 California

Profile Details

NPI number 1033527601
LBN Legal business name Ellsworth, Tatianna
Credentials DNP, FNP-BC, PNP-P
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Nov 2nd, 2022 - about 3 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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