Individual
ELLEN L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 506-8568
Mailing address
26219 STUDENT, REDFORD, MI 48239-3962
(313) 506-8568
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
4704119285
MI
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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