Individual provider · Type 1 NPI
Anthony C. Ellis
Gerontology Nurse Practitioner · Ann Arbor, MI
NPI number
1801755954
Active
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
30714 Helmandale Dr
Franklin, MI 48025-1577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704314574 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1801755954
Anthony C. Ellis's National Provider Identifier is 1801755954, issued on Jan 15, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Ann Arbor, MI. The record was last updated on Jan 15, 2026.