Individual provider · Type 1 NPI
Tyara Cinque Evelyn Ellis
Critical Care Medicine Registered Nurse · Lincoln Park, MI
NPI number
1720790751
Active
Practice location
1431 Montie Rd
Lincoln Park, MI 48146-1569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 163WC0200X (MI) |
Critical Care Medicine Registered Nurse: Definition to come...
About NPI 1720790751
Tyara Cinque Evelyn Ellis's National Provider Identifier is 1720790751, issued on Dec 21, 2022. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Lincoln Park, MI. The record was last updated on Dec 21, 2022.