Individual provider · Type 1 NPI
Ellen Grace Tebos, FNP-BC
Family Nurse Practitioner · Muskegon, MI
NPI number
1720626641
Active
Practice location
550 W Western Ave Apt 307
Muskegon, MI 49440-1086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2019047894 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720626641
Ellen Grace Tebos, FNP-BC's National Provider Identifier is 1720626641, issued on Dec 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Muskegon, MI. The record was last updated on Dec 11, 2019.