Individual provider · Type 1 NPI
Stephanie Stiff Ellimoottil, NP
Nurse Practitioner · Ann Arbor, MI
Practice location
1500 East Medical Center Dr, 3rd Floor Cardiovascular Center Recp C
Ann Arbor, MI 48109-5864
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209010837 (IL) |
| Nurse Practitioner Primary | 363L00000X | 4704326060 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1770911950
Stephanie Stiff Ellimoottil, NP's National Provider Identifier is 1770911950, issued on Oct 24, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Dec 11, 2018.