Individual provider · Type 1 NPI

Alexandra Ellis

Student in an Organized Health Care Education/Training Program · Traverse City, MI

NPI number 1356212708 Active

Practice location

105 Hall St
Traverse City, MI 49684-2288

Call (231) 922-4850 Map

Fax (231) 935-3696

Mailing address

3875 Eagle Pass
Williamsburg, MI 49690-8609

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1356212708

Alexandra Ellis's National Provider Identifier is 1356212708, issued on Sep 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Traverse City, MI. The record was last updated on Sep 17, 2025.