Individual provider · Type 1 NPI

Ellen Marie Gavin, RN, BSN

Administrator Registered Nurse · Ann Arbor, MI

NPI number 1356477798 Active

Practice location

2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552

Fax (734) 971-2487

Mailing address

555 Towner St, PO Box 915
Ypsilanti, MI 48198-5752

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X4704209275 (MI)

Administrator Registered Nurse: Definition to come...

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About NPI 1356477798

Ellen Marie Gavin, RN, BSN's National Provider Identifier is 1356477798, issued on Feb 27, 2007. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 8, 2007.