Individual
MRS. DELORES MARIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3601 S 6TH AVE, 11-136B4, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3526 S WHITE GOLD AVE, TUCSON, AZ 85735-9055
(520) 578-4019
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN101641
AZ
Other
Enumeration date
04/21/2006
Last updated
12/13/2013
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