IndividualActive
Caron Grant-Ellis, RN
NPI 1124269998 · Addiction (Substance Use Disorder) Registered Nurse · Mesa, AZ
Provider details
- NPI number
- 1124269998
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN133597 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
554 S Bellview
Mesa, AZ 85204-2504
Phone: (480) 649-1141
Approximate (ZIP-level) locationGet directions
Mailing address
3691 W Yellow Peak Dr
Queen Creek, AZ 85242-3076
Registry dates
- Enumerated
- 2009-03-09
- Last updated
- 2009-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.