Individual provider · Type 1 NPI
Constance Ellis
Student in an Organized Health Care Education/Training Program · Wayne, MI
NPI number
1205751401
Active
Practice location
3222 3rd St
Wayne, MI 48184-1301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1205751401
Constance Ellis's National Provider Identifier is 1205751401, issued on Aug 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wayne, MI. The record was last updated on Aug 13, 2026.