DENISE ELLISON NPI 1225495757

NPI Information

NPI: 1225495757
Provider Name: DENISE ELLISON
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
3160 GARRITY WAY
SAN PABLO, CA
ZIP 94806
Phone: (510) 758-7462
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Denise Ellison is an adult health nurse practitioner in San Pablo, CA. Denise Ellison NPI is 1225495757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3160 GARRITY WAY
SAN PABLO, CA
ZIP 94806-983
Phone: (510) 758-7462

The enumeration date for this NPI number is 1/28/2016 and was last updated on 1/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	22040	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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