Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tia Ellis

Individual provider Registered Nurse · NPI 1811652498

Tia Ellis is a Registered Nurse in Clearlake, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

15850 42nd Ave
Clearlake, CA 95422-9483
Phone: (707) 349-8126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95252230 (CA)

Record details

NPI number1811652498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateAugust 16, 2021
Mailing address15850 42nd Ave, Clearlake, CA 95422-9483

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