Wellformed AI

NPI 1255272803 · live from the CMS NPI Registry

Ella Bannick, CPNP-AC/PC

Nurse Practitioner, Pediatrics in Aurora, CO. National Provider Identifier 1255272803, active.

NPI record

NPI1255272803 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location13123 E 16th Ave, Aurora, CO 80045
Practice phone303-724-2223
Mailing addressPo Box 110429, Aurora, CO 80042
EnumeratedApril 6, 2026
Last updatedJuly 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200XAPN.1001519-NP (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.