Connie M Ebach
NP | Nurse Practitioner | 24+ years Exp
Corner Of Route N12 And N7, Fort Defiance
Arizona, 86504
928-729-8000
Connie M Ebach is a Fort Defiance, Arizona based nurse practitioner with 24 years of experience in . She completed her graduation in 2001. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Connie M Ebach is R22087 in North Dakota. Her current practice location is Corner Of Route N12 And N7, Fort Defiance. Patients can reach her at 928-729-8000. Connie M Ebach is NP and her NPI number (Unique professional ID assigned by NPPES) is 1053417493.
Connie M Ebach has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Connie M Ebach speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Connie M Ebach |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | Corner Of Route N12 And N7, Fort Defiance,
Arizona, 86504 |
| Phone: | 928-729-8000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1759379258 |
| Enrollment ID: | I20040504000454 |
| NPI Number: | 1053417493 |
| NPI Enumeration Date: | 15 Sep, 2006 |
| NPI Last Update On: | 23 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Connie M Ebach are as mentioned below.
| License Number | Specialization | State | Status | |
| R22087 | | North Dakota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Connie M Ebach is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Elbowoods Memorial Health Center (1052477494) | 21 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Connie M Ebach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 19686 | Medicaid | North Dakota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Connie M Ebach
Po Box 649,
Fort Defiance, Arizona |
| Zip: | 86504-0649 |
| Phone Number: | 928-729-8000 |
Patients can reach Connie M Ebach at
Corner Of Route N12 And N7, Fort Defiance, Arizona or can
call to book an appointment on 928-729-8000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.