Adrian Ellis Short, is a
Clinical Nurse Specialist based in Cypress, Texas. Adrian Ellis Short is licensed to practice in Texas (license number 305776) and her current practice location is
15402 Hazen Point Dr, Cypress, Texas. She can be reached at her office (for appointments etc.) via phone at
(203) 506-1529.
NPI number for Adrian Ellis Short is 1417628793 and her current mailing address is Po Box 2306, Cypress, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417628793.
Provider's Profile
| Full Name | Adrian Ellis Short |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist |
|---|
| Location | 15402 Hazen Point Dr, Cypress, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417628793
- Provider Enumeration Date: 09/25/2021
- Last Update Date: 09/25/2021
Medical Identifiers
Medical identifiers for Adrian Ellis Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417628793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364S00000X | Clinical Nurse Specialist | 305776 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adrian Ellis Short is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Adrian Ellis Short,
Po Box 2306,
Cypress, TX 77410-2306
Ph: (203) 506-1529 | Adrian Ellis Short,
15402 Hazen Point Dr,
Cypress, TX 77433-6186
Ph: (203) 506-1529 |
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