Healthcare Provider Details

I. General information

NPI: 1285224477
Provider Name (Legal Business Name): APRIL ELLIS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 02/06/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4848 E CACTUS RD
SCOTTSDALE AZ
85254-4163
US

IV. Provider business mailing address

27930 N 93RD LN
PEORIA AZ
85383-5476
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-0050
  • Fax:
Mailing address:
  • Phone: 480-600-8472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number252969
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number252969
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: