MRS. DELORES MARIE ELLIS (NPI# 1619933405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619933405 |
| Entity Type | Individual |
| Full Name | MRS. DELORES MARIE ELLIS |
| Credential | ARNP |
| Practice Address |
3601 S 6th Ave 11-136b4 Tucson AZ 85723-0001 |
| Mailing Address |
3526 S White Gold Ave Tucson AZ 85735-9055 |
| Practice Telephone | 5207921450 |
| Mailing Telephone | 5205784019 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN101641 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 S 6TH AVE 11-136B4 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85723-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538160841 | Alan P. Baehr | Psychologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2005-08-09 |
| 1467053777 | Manami Christie Okoshi | Specialist/Technologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-11-03 |
| 1578164158 | Julie Ann Sickles | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-11-02 |
| 1104426626 | Hellen Nguyet Ly | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-26 |
| 1295334969 | Amanda Ruth Carlson | Social Worker | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-22 |
| 1952900391 | Daniel J Massey | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-17 |
| 1497360804 | Kassandra Notbohm | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-09-11 |
| 1487268934 | Stacey Lynn Scofero | Licensed Practical Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-09-02 |
| 1912510330 | Krystal Chandler | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0002 | 2020-08-25 |
| 1548872641 | Karen Hatch Drenner | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912380 | Daniel Martyn Altig | Social Worker | Savahcs, 3601 South 6th Ave, Tucson, AZ 85723 | 2018-08-17 |
| 1760924757 | Jose Santos Urias | Respiratory Therapist, Registered | 3601s 6th Ave, Tucson, AZ 85723 | 2016-11-08 |
| 1144461898 | Roy Alan Kolden | Respiratory Therapist, Certified | 3601 South 6th Avenue, Tucson, AZ 85723 | 2009-03-10 |
| 1861689804 | Rene Adan Nunez | Radiologic Technologist | 3601 South 6th Avenue (9-05), Tucson, AZ 85723 | 2007-10-03 |
| 1609956176 | Kenneth Ely Monroe | Internal Medicine | 3601 So 6th Ave, Southern Arizona Va Health Care Service, Tucson, AZ 85723 | 2006-10-17 |
| 1639269566 | James Edward Hadley | Kinesiotherapist | 3601 S 6 Th Ave, Tucson, AZ 85723 | 2006-10-13 |
| 1437240470 | Anita Judith Goss | Nurse Practitioner | 3601 S 6th St, 4116a, Tucson, AZ 85723 | 2006-09-27 |
| 1053410795 | Edwin Harold Kroon | Psychiatry & Neurology | 3601 South 6th Ave, Southern Arizona Va Health Care System, Tucson, AZ 85723 | 2006-09-21 |
| 1568572469 | Joseph Edward Upson | Internal Medicine | 3601 S. 6th Avenue, Tucson, AZ 85723 | 2006-08-30 |
| 1528175072 | Jayendra H Shah | Internal Medicine | 3601 S. 6ht Avenue, Tucson, AR 85723 | 2006-08-23 |
| Find all providers in zip 85723 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682502 | Mary Kaye Pierce | Nurse Practitioner | Southern Az Va Healthcare System, 3601 S. Sixth Ave., Tucson, AZ 85723-0001 | 2006-05-03 |
| 1013568542 | Lorraine Y Yentzer | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2019-09-25 |
| 1326474982 | Leslie L Ledbetter | Nurse Practitioner | 3945 E Paradise Falls Dr, Suite 201, Tucson, AZ 85712-6683 | 2013-09-15 |
| 1427263094 | Bari Jill Orozco | Nurse Practitioner | 6365 E Tanque Verde Rd, Tucson, AZ 85715-3830 | 2007-05-14 |
| 1801950282 | Carol Ann Bryniarski | Nurse Practitioner | 2122 N Craycroft Rd, Suite 102, Tucson, AZ 85712-2849 | 2006-12-20 |
| 1174633523 | Marion M Adams | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-08-30 |
| 1275599466 | Lorna Cook | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-04-25 |
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|---|---|---|---|---|
| 1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
| 1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
| 1760090427 | Debra Shannon Witthar | Nurse Practitioner | 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 | 2020-07-20 |
| 1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
| 1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
| 1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
| 1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
| 1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
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| 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.