Individual
MS. LAURI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4066 E MONSANTO DR UNIT F, SIERRA VISTA, AZ 85650-8512
(520) 678-9868
Mailing address
4066 E MONSANTO DR UNIT F, SIERRA VISTA, AZ 85650-8512
(520) 335-6118
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
263572
AZ
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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