DENISE ELLISON
NPI 1225495757
Nurse Practitioner - Adult Health in San Pablo, CA
Active since January 28, 2016
About Denise Ellison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE ELLISON (NPI 1225495757) is an individual adult health provider in San Pablo, California, licensed in California (22040) and active in the NPI registry since January 2016.
NPPES Registry Identity
NPI1225495757
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDENISE ELLISON
Location Address3160 GARRITY WAYSan Pablo, CA 94806-1983
Mailing Address3160 Garrity WaySan Pablo, CA 94806-1983
Phone(510) 758-7462
Sole ProprietorNo
Enumeration DateJanuary 28, 2016
✔ NPI 1225495757 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 22040
3160 GARRITY WAY, San Pablo, CA 94806
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225495757, enumerated as an "individual" on January 28, 2016.
The provider is located at 3160 GARRITY WAY SAN PABLO, CA 94806 and the phone number is (510) 758-7462.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
