Individual
ASHLEY ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
40093 STREAMWOOD CT, STERLING HEIGHTS, MI 48310-7807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704317991
MI
367500000X
Certified Registered Nurse Anesthetist
11015128
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
4704317991
MI
Other
Enumeration date
07/12/2021
Last updated
11/21/2024
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