person
Tyara Cinque Evelyn Ellis
Critical Care Medicine Registered Nurse in Lincoln Park, Michigan
NPI 1720790751

Tyara Cinque Evelyn Ellis is a Critical Care Medicine Registered Nurse based in Lincoln Park, MI and is specialized in Critical Care Medicine. Tyara Cinque Evelyn Ellis practices in Lincoln Park, MI. The NPI Number for Tyara Cinque Evelyn Ellis is 1720790751 and holds a License No. 163WC0200X (Michigan).

The current practice location address for Tyara Cinque Evelyn Ellis is 1431 Montie Rd, Lincoln Park, MI and can be reached out via phone at 313-948-0387.

Location: 1431 Montie Rd, Lincoln Park, MI, 48146-1569
person
Provider Profile Details
NPI Number
1720790751
Provider Name
Tyara Cinque Evelyn Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1431 Montie Rd, Lincoln Park, MI, 48146-1569
Phone Number
313-948-0387
Fax Number
Provider Enumeration Date
12/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1431 Montie Rd
City
State
Zip
48146-1569
Phone Number
313-948-0387
Fax Number
person
Provider Business Mailing Address Details
Address
1431 Montie Rd
City
State
Zip
48146-1569
Phone Number
313-948-0387
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
License No.
163WC0200X (Michigan)
Definition
Definition to come...
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