Individual provider · Type 1 NPI
Beth McLellan
Family Nurse Practitioner · Detroit, MI
NPI number
1255790416
Active
Practice location
3031 W Grand Blvd
Detroit, MI 48202-3046
Mailing address
12239 Lessard St.
Tecumseh, ONTARIO N8N 4M1
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704209596 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255790416
Beth McLellan's National Provider Identifier is 1255790416, issued on Feb 16, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Feb 16, 2016.