Individual
MRS. ANGELA CHRISTINE ELENBAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
102 MCPHERSON AVE, LANSING, MI 48915-1760
(517) 244-8041
(517) 244-7189
Mailing address
5303 S CEDAR ST, LANSING, MI 48911-3800
(517) 887-4467
(517) 244-7174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704190660
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704190660
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB190660
BCBS PIN AT BEDHD
MI
Enumeration date
03/09/2007
Last updated
12/10/2024
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