Individual provider · Type 1 NPI

Nicole Maria Pelaez Elizalde

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

NPI number 1457224495 Active

Practice location

13111 Allen Rd.
Southgate, MI 48195

Call (734) 287-1500 Map

Mailing address

19291 Northline Rd.
Southgate, MI 48195

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 1457224495

Nicole Maria Pelaez Elizalde's National Provider Identifier is 1457224495, issued on Sep 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southgate, MI. The record was last updated on Sep 25, 2025.