Individual
ELLAINA JOHNSON-ANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14672 N FRNKLLYDW BLVD, SCOTTSDALE, AZ 85260-2043
(602) 770-6874
Mailing address
14672 N FRNKLLYDW BLVD, SCOTTSDALE, AZ 85260-2043
(602) 770-6874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7843
AZ
Other
Enumeration date
01/12/2015
Last updated
04/04/2017
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