MEDICARE: ELLANA EHRLER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5568	AZ

General Provider Information

NPI Number	:	1457780793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLANA EHRLER PA-C

Provider Business Mailing Address
First Line	:	1823 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-3052
Country	:	US
Telephone Number	:	602-716-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1823 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-3052
Country	:	US
Telephone Number	:	602-716-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	11/07/2013

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Directions to “ ELLANA EHRLER PA-C” Practice Location

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