Individual provider · Type 1 NPI
Christa Lynne Ellingsworth, NP
Family Nurse Practitioner · Clarkston, MI
NPI number
1770655995
Active
Practice location
5724 Shannon Ln
Clarkston, MI 48348-5165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704195469 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770655995
Christa Lynne Ellingsworth, NP's National Provider Identifier is 1770655995, issued on Nov 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarkston, MI. The record was last updated on Jul 8, 2007.