# ELAN VITALE HEALTHY LIVING SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982107140
- **Authorized official:** JACKIE DUNCAN PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (248) 667-2531

## Contact information

- **Practice address:** 27247 JOY RD, DEARBORN HTS, MI 48127-1022
- **Practice address phone:** (248) 667-6307
- **Mailing address:** 27247 JOY RD, DEARBORN HTS, MI 48127-1022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704170920 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 03/14/2018