Individual
KENZIE ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
40773 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140-7002
(480) 684-5000
Mailing address
525 W BROWN RD, MESA, AZ 85201-3202
(480) 684-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235334
AZ
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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