Individual
MRS. ELLEN JOY ELZINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 US HIGHWAY 41 STE I, SCHERERVILLE, IN 46375-1278
(219) 864-3950
(219) 864-3952
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
28266444A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015620A
IN
Other
Enumeration date
07/17/2024
Last updated
09/09/2024
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