Dr. Tatianna Ellsworth
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
200 Mercy Circle
Camp Pendleton
, California 92055-5191
Dr. Tatianna Ellsworth
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
200 Mercy Circle
Camp Pendleton
, California 92055-5191
(760) 719-4083
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Tatianna Ellsworth
- Po Box 555191
- Camp Pendleton, CA
- Zip : 92055-5191
- Phone : (760) 719-4083
Second Address
- Dr. Tatianna Ellsworth
- 200 Mercy Circle
- Camp Pendleton, CA
- Zip : 92055-5191
- Phone : (760) 719-4083
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 95001023 | CA |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 95001023 | CA |
National Provider Identifier
| NPI | 1033527601 |
|---|---|
| Provider Name | Dr. Tatianna Ellsworth |
| First Address | Camp Pendleton, CA 92055-5191 |
| Second Address | Camp Pendleton, CA 92055-5191 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2014 |
| Last Update Date | 28/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.