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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ELLEN MARY BANDO, PA

Active

MS. ELLEN MARY BANDO, PA is a Physician Assistant healthcare provider located in FORT DEFIANCE, Arizona. NPI 1699765057 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT DEFIANCE, AZ

Registration Details

NPI Number
1699765057
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2005 (20.760943799779 yrs)
Last Updated
May 19, 2025
Licenses
0569 (NH)
055-0030836 (VT)
2333 (AZ)

Practice Information

Address
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ, 865040649
Browse AZ providers · Browse ZIP 86504
Phone
9287298000
Fax
9287293355
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FORT DEFIANCE, AZ

Name Credential NPI
VICKIE LYNN CRANFORD-LONQUICH PA-C 1902929722
CHARLOTTE THOMPSON P.A.-C. 1417148735
MRS. SALLY LYNN THOMPSON PA-C 1558698514
JUDDSON BALDWIN PA-C 1700155124
CHRISTOPHER COLIN CURTIN PA-C 1427398817
MALCOLM JEWELL PA-C 1487064838
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.