Individual
MS. BRENDA LYNN ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11518 N FRONTAGE RD, YUMA, AZ 85367-8994
(928) 342-6500
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 247-6516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-003850
IL
363LF0000X
Family Nurse Practitioner
Primary
269800
AZ
Other
Enumeration date
05/03/2007
Last updated
07/31/2023
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