Individual provider · Type 1 NPI
Cassie M. Ellul, NP
Nurse Practitioner · Ann Arbor, MI
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Other practice locations
- 414 Lathers St, Garden City, MI 48135-3117 · (734) 664-5276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704329365 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704329365 (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 1790437598
Cassie M. Ellul, NP's National Provider Identifier is 1790437598, issued on Jan 23, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jan 6, 2026.