Individual
MRS. ELAINE ANN ENGELSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1675 LEAHY ST STE 301A, MUSKEGON, MI 49442-5543
(231) 672-8300
(231) 672-8310
Mailing address
1675 LEAHY ST STE 301A, MUSKEGON, MI 49442-5543
(231) 672-8300
(231) 672-8310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704164318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI1763056
MEDICARE PTAN
MI
Enumeration date
05/18/2007
Last updated
04/11/2022
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