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Brian Ellis
Licensed Practical Nurse in Harper Woods, Michigan
NPI 1992105878

Brian Ellis is a Licensed Practical Nurse based in Harper Woods, MI. Brian Ellis practices in Harper Woods, MI. The NPI Number for Brian Ellis is 1992105878 and holds a License No. 4703113969 (Michigan).

The current practice location address for Brian Ellis is 19000 Eastwood Dr, Harper Woods, MI and can be reached out via phone at 313-515-7002.

Location: 19000 Eastwood Dr, Harper Woods, MI, 48225-2080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992105878
Provider Name
Brian Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
19000 Eastwood Dr, Harper Woods, MI, 48225-2080
Phone Number
313-515-7002
Fax Number
Provider Enumeration Date
08/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19000 Eastwood Dr
City
Harper Woods
State
Michigan
Zip
48225-2080
Phone Number
313-515-7002
Fax Number
person
Provider Business Mailing Address Details
Address
19000 Eastwood Dr
City
Harper Woods
State
Michigan
Zip
48225-2080
Phone Number
313-515-7002
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703113969 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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