Doctor Name: | MS. ELLIE C GUARDIOLA |
NPI Number: | 1427484666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN RN |
License Number: | 174479 |
Business Practice Address: | 8801 N 56th St Paradise Valley, AZ - 852532246 |
Business Phone Number: | 4804848711 |
Business Fax Number: | |
Mailing Address: | 750 E Northern Ave, #2017 PHOENIX |
State: | AZ |
Postal Code: | 850204161 |
Phone Number: | 4804848711 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 174479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |