Individual
ELLEN TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
3290 W BIG BEAVER RD STE 150, TROY, MI 48084-2931
(248) 792-6527
Mailing address
8348 18 MILE RD APT 1, STERLING HEIGHTS, MI 48313-3003
(815) 218-4764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704348446
MI
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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