Individual
KAY ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20211 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2691
(313) 336-4444
Mailing address
22725 SHERIDAN ST, DEARBORN, MI 48128-1832
(313) 522-6655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704224475
MI
363L00000X
Nurse Practitioner
Primary
4704224475
MI
Other
Enumeration date
02/21/2019
Last updated
12/08/2019
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