MS. ELAINE A. NISSEN (NPI# 1538390521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538390521 |
| Entity Type | Individual |
| Full Name | MS. ELAINE A. NISSEN |
| Credential | FNP |
| Practice Address |
1298 W Finnie Flat Rd Camp Verde AZ 86322-5958 |
| Mailing Address |
1200 N Beaver St Payer Credentialing Flagstaff AZ 86001-3118 |
| Practice Telephone | 9286395555 |
| Practice Fax Number | 9286395554 |
| Mailing Telephone | 9287732559 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN040303 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP3425 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 454700 | 05 |
| Street Address |
1298 W FINNIE FLAT RD |
| City | CAMP VERDE |
| State | AZ |
| Zip Code | 86322-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573533 | John T Rooney | Family Medicine | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2006-01-25 |
| 1417589375 | Erin L Bennett | Clinic/Center | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2020-02-09 |
| 1497254460 | Jason Scott Litzinger | Nurse Practitioner | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2018-02-06 |
| 1619496684 | Juliana Adjovu | Nurse Practitioner | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2017-09-11 |
| 1023496734 | Steven Jared Taylor | Internal Medicine | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2015-05-13 |
| 1508283458 | Danielle L. Woo | Nurse Practitioner | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2014-03-27 |
| 1023150794 | Elena Suzanne Shea | Family Medicine | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2007-02-12 |
| 1073659611 | Tatyana Erdmann | Physician Assistant | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2007-01-30 |
| 1588726947 | Kamli Jura | Pediatrics | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1508225301 | Jennifer Lynn Wolf | Specialist/Technologist | 253 E Stolen Blvd, Camp Verde, AZ 86322 | 2016-02-22 |
| 1700288792 | Ramiro Lambaria IIi | Dentist | 1996 Doug's Park Rd, Camp Verde, AZ 86322 | 2014-09-22 |
| 1457768459 | Tammy Sue Oothoudt | Psychiatric Residential Treatment Facility | 1140 South Little Fox Trail, Camp Verde, AZ 86322 | 2014-07-22 |
| 1669798146 | Camp Verde Family Chiropractic & Wellness Center Inc. | Chiropractor | 564 Main Street Suite #108, Camp Verde, AZ 86322 | 2010-04-09 |
| 1841522869 | Kyle Earl French | Chiropractor | 564 S Main Street, Suite 108, Camp Verde, AZ 86322 | 2010-02-01 |
| 1386871440 | Kadeen Mansor | Physical Therapist | 6345 S Cedar Springs St, Camp Verde, AZ 86322 | 2009-06-16 |
| 1811146574 | Karin M. Hauenstein | Social Worker | 449 Sixth Street, Camp Verde, AZ 86322 | 2008-09-17 |
| Find all providers in zip 86322 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1093908527 | Camp Verde Family Health LLC | Nurse Practitioner | 460 W Finnie Flats Rd, Camp Verde, AZ 86322-7266 | 2007-08-17 |
| 1447361845 | Deborah A Wasson | Nurse Practitioner | Yavapai-apache Health Center, 2121 W Reservation Loop Rd, Camp Verde, AZ 86322-8412 | 2006-08-31 |
| 1497254460 | Jason Scott Litzinger | Nurse Practitioner | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2018-02-06 |
| 1619496684 | Juliana Adjovu | Nurse Practitioner | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2017-09-11 |
| 1508283458 | Danielle L. Woo | Nurse Practitioner | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | CAMP VERDE |
| Zip Code | 86322 |
Please comment or provide details below to improve the information on MS. ELAINE A. NISSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.