Individual provider · Type 1 NPI

Diane Ellithorpe

Licensed Practical Nurse · Swartz Creek, MI

NPI number 1194285940 Active

Practice location

4202 Hickory Ln
Swartz Creek, MI 48473-1588

Call (810) 347-3606 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703053959 (MI)

Licensed Practical Nurse: 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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About NPI 1194285940

Diane Ellithorpe's National Provider Identifier is 1194285940, issued on Mar 20, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Swartz Creek, MI. The record was last updated on Mar 20, 2019.