THERESA MT ELLINGSEN AGCNS-BC NPI 1659079804

NPI Information

NPI: 1659079804
Provider Name: THERESA MT ELLINGSEN, AGCNS-BC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual
Address:
400 N HIGHLAND AVE
AURORA, IL
ZIP 60506
Phone: (630) 392-9902
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Theresa Mt Ellingsen, AGCNS-BC is a clinical nurse specialist in Aurora, IL. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Theresa Mt Ellingsen, AGCNS-BC NPI is 1659079804. 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:

400 N HIGHLAND AVE
AURORA, IL
ZIP 60506-814
Phone: (630) 392-9902

The enumeration date for this NPI number is 2/17/2023 and was last updated on 2/17/2023.

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	364S00000X	Clinical Nurse Specialist		0411233789	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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