Steven Ellison, NURSE PRACTITIONER | |
Highway 264, Mp 388, Polacca, AZ 86042-4000 | |
(928) 737-6000 | |
Not Available |
Full Name | Steven Ellison |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | Highway 264, Mp 388, Polacca, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437605219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | ARNP9220581 (Florida) | Primary |
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
Mailing Address | Practice Location Address |
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Steven Ellison, NURSE PRACTITIONER Po Box 4000, Highway 264, Mp 388, Polacca, AZ 86042-4000 Ph: (928) 737-6000 | Steven Ellison, NURSE PRACTITIONER Highway 264, Mp 388, Polacca, AZ 86042-4000 Ph: (928) 737-6000 |
Emily Elizabeth Virginia Robbie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 189 Hwy 264, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6001 | |
Pamela L. Bahler, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hwy 264 Mmp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6001 | |
Ms. Susan Elizabeth Bigley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Hwy 264 Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 | |
Ms. Elizabeth M Bayley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Arizona State Hwy #264, Milepost 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6001 |