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ELLEN PORTNOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(248) 680-2060
Mailing address
2825 W OUTER DR, TROY, MI 48083
(248) 680-2060

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6801064524
MI

Other

Enumeration date
03/29/2007
Last updated
04/08/2021
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