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Elisheva Ellenberg
Family Nurse Practitioner in Warren, Michigan
NPI 1831711936

Elisheva Ellenberg is a Family Nurse Practitioner based in Southfield, MI and is specialized in Family. Elisheva Ellenberg practices in Warren, MI. The NPI Number for Elisheva Ellenberg is 1831711936 and holds a License No. 4704311157 (Michigan).

The current practice location address for Elisheva Ellenberg is 11800 E 12 Mile Rd, Warren, MI and can be reached out via phone at 773-517-7931.

Location: 11800 E 12 Mile Rd, Warren, MI, 48075-1915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831711936
Provider Name
Elisheva Ellenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
11800 E 12 Mile Rd, Warren, MI, 48075-1915
Phone Number
773-517-7931
Fax Number
Provider Enumeration Date
05/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
773-517-7931
Fax Number
person
Provider Business Mailing Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
773-517-7931
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704311157 (Michigan)
Definition
Definition to come...
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