MS. MARY ELLEN EHMAN (NPI# 1255404265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255404265 |
| Entity Type | Individual |
| Full Name | MS. MARY ELLEN EHMAN |
| Other Name | MRS. MARY ELLEN EHMAN-FAUST |
| Credential | FNP |
| Practice Address |
1405 Teresa Drive Morro Bay CA 93442 |
| Mailing Address |
355 Las Vegas Morro Bay CA 93442 |
| Practice Telephone | 8057722237 |
| Practice Fax Number | 8057722536 |
| Mailing Telephone | 8057727100 |
| Mailing Fax Number | 8057727776 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10487 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
8167 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1405 TERESA DRIVE |
| City | MORRO BAY |
| State | CA |
| Zip Code | 93442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649834730 | Charles David Barnes | Physical Therapist | 404 Estero Ave, Morro Bay, CA 93442 | 2019-04-24 |
| 1356856975 | Orange County Urgent Care #3 Inc. | Clinic/Center | 7330 El Camino Real, Atascadero, CA 93442 | 2017-12-05 |
| 1750818068 | Robert H Price Md Inc | Psychiatry & Neurology | 1501 Quintana Road, Apt. 6, Morro Bay, CA 93442 | 2017-05-17 |
| 1053748483 | Lucien C. Morin | Nurse Practitioner | 2626 Maple Ave, Morro Bay, CA 93442 | 2013-09-30 |
| 1154649390 | Divina Theodosia Johnston | Counselor | 645 Morro Ave Apt 3f, Morro Bay, CA 93442 | 2010-05-12 |
| 1225365109 | Romano Procida | Pharmacist | 740 Quintana Rd, Rite Aid Pharmacy, Morro Bay, CA 93442 | 2009-11-12 |
| 1699923979 | Scott Taylor | Dentist | 685 Main St. Suite C, Morro Bay Dentistry, Morro Bay, CA 93442 | 2008-08-28 |
| 1588723605 | Idee B Shapiro | Marriage & Family Therapist | 895 Napa Ave., Suite B-6, Morro Bay, CA 93442 | 2006-12-06 |
| 1013026202 | Frederick George Novy | Dermatology | 895 Shasta Ave, Morro Bay, CA 93442 | 2006-08-30 |
| 1235248972 | Mills Chiropractic Corporation | Chiropractor | 1052 Main Street, Suite B, Morro Bay, CA 93442 | 2006-08-29 |
| Find all providers in zip 93442 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477014454 | Natalia Donici | Nurse Practitioner | 940 Morro Bay Blvd, Morro Bay, CA 93442-2325 | 2019-03-30 |
| 1093091829 | Annie-claude Sanchis | Nurse Practitioner | 685 Morro Ave, Suite C, Morro Bay, CA 93442-2233 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. MARY ELLEN EHMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.