Provider Demographics
NPI:1326849076
Name:ELEVATION ACADEMY SCHOOL OF NURSING
Entity type:Organization
Organization Name:ELEVATION ACADEMY SCHOOL OF NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TITINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-300-5408
Mailing Address - Street 1:925 N STAPLEY DR STE D
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-5637
Mailing Address - Country:US
Mailing Address - Phone:480-300-5408
Mailing Address - Fax:
Practice Address - Street 1:925 N STAPLEY DR STE D
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-5637
Practice Address - Country:US
Practice Address - Phone:480-300-5408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty