Individual provider · Type 1 NPI

Elisheva Ellenberg

Family Nurse Practitioner · Warren, MI

NPI number 1831711936 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Mailing address

16986 Hilton St
Southfield, MI 48075-1915

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704311157 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1831711936

Elisheva Ellenberg's National Provider Identifier is 1831711936, issued on May 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Warren, MI. The record was last updated on May 12, 2020.