Individual
ELISE PAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2213 CHERRY ST UNIT B, TOLEDO, OH 43608-2603
(419) 251-5155
(419) 251-5160
Mailing address
7563 BIRCH ST, TAYLOR, MI 48180-2393
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704279799
MI
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0032865
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0032865
OH
Other
Enumeration date
04/18/2019
Last updated
10/12/2024
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