NPI 1114686045 · live from the CMS NPI Registry
Elite Surgical Services, LLC
Registered Nurse, Registered Nurse First Assistant in Surprise, AZ. National Provider Identifier 1114686045, active.
NPI record
| NPI | 1114686045 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 14877 W Bell Rd Ste 101, Surprise, AZ 85374 |
| Practice phone | 602-717-1547 |
| Mailing address | 17141 W Seldon Ln, Waddell, AZ 85355 |
| Enumerated | December 8, 2021 |
| Last updated | December 8, 2021 |
| Authorized official | Atalia Vietor, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | — |
| Registered Nurse, Plastic Surgery | 163WS0121X | — |
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.