Elysia Small, PA

NPI 1174074991 · on the registry since 2016

Practice

Address: 1501 S Yale St
Building 2 Suite 150
Flagstaff, AZ 86001
Phone: (928) 527-4325
Fax: (928) 527-4327
Organisation at this address: Naz Mua Llc
Lhcg Lxxvii, Llc
Elite Uc Care Llc
Proforma Health Pllc
Munderloh Medical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona