Individual
ELLEN MCVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
502 W. 29TH STREET, TUCSON, AZ 85713-3353
(520) 884-9920
(520) 792-0654
Mailing address
502 W. 29TH STREET, TUCSON, AZ 85713-3353
(520) 884-9920
(520) 792-0654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN091959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699811
—
AZ
Enumeration date
10/16/2006
Last updated
02/05/2013
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