DR. TATIANNA ELLSWORTH DNP PNP NPI 1033527601

NPI Information

NPI: 1033527601
Provider Name: DR. TATIANNA ELLSWORTH, DNP, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 719-4083
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DR. Tatianna Ellsworth, DNP, PNP is a pediatrics nurse practitioner in Camp Pendleton, CA. DR. Tatianna Ellsworth, DNP, PNP NPI is 1033527601. 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:

200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055-191
Phone: (760) 719-4083

The enumeration date for this NPI number is 7/28/2014 and was last updated on 7/28/2014.

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	363LF0000X	Nurse Practitioner	Family	95001023	CALIFORNIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	95001023	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: 11/14/2023

NPI Synchronization or Removal

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