MS. Ellen Mary Bando, PA
MS. Ellen Mary Bando, PA is a Physician Assistant in Fort Defiance, Arizona. Qualified in 1999, 27 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in Arizona, New Hampshire and Vermont.
- Years since qualifying
- 27
- Licensed in
- AZ, NH, VT
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
Corner Of Route N12 And N7Fort Defiance, AZ 86504-0649
Phone: (928) 729-8000
Fax: (928) 729-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2333 (AZ) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 0569 (NH) |
| Physician Assistant | Taxonomy 363A00000X · Licence 055-0030836 (VT) |
Record details
| NPI number | 1699765057 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 26, 2005 |
| Last updated in NPPES | May 19, 2025 |
| Certification date | April 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fort Defiance
-
Juddson Baldwin, PA-C
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 · (616) 262-8856
-
Floyd Bodden, PA
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 · (928) 729-8000
-
Wyatt Brown, PA-C
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 · (928) 729-8000
-
Michael J Cavanaugh
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 · (928) 729-8000
-
Vickie Lynn Cranford-Lonquich, PA-C
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 · (928) 729-8000