person
Kathryn Louise Ellens, NP
Gerontology Nurse Practitioner in Grand Rapids, Michigan
NPI 1154819035

Kathryn Louise Ellens is a Gerontology Nurse Practitioner based in Grand Rapids, MI and is specialized in Gerontology. Kathryn Louise Ellens practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Kathryn Louise Ellens is 1154819035 and holds a License No. 4704278582 (Michigan).

The current practice location address for Kathryn Louise Ellens is 4100 Lake Dr Se Ste 200, Grand Rapids, MI and can be reached out via phone at 616-391-3759.

Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1154819035
Provider Name
Kathryn Louise Ellens
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4100 Lake Dr Se Ste 200, Grand Rapids, MI, 49503-2560
Phone Number
616-391-3759
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4100 Lake Dr Se Ste 200
City
State
Zip
49546-8292
Phone Number
616-391-3759
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Lake Dr Se Ste 200
City
State
Zip
49546-8292
Phone Number
616-391-3759
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704278582 (Michigan)
Definition
Definition to come...
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