Individual
MRS. DIANNA GRACE EHLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
311 MACK AVE STE 64100, DETROIT, MI 48201-2466
(313) 832-0650
Mailing address
2041 GOLFCREST DR, COMMERCE TWP, MI 48382-1258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704301257
MI
163WC0200X
Critical Care Medicine Registered Nurse
65285
NM
208VP0014X
Interventional Pain Medicine Physician
4704301257
MI
363L00000X
Nurse Practitioner
0024183682
VA
363LA2100X
Acute Care Nurse Practitioner
4704301257
MI
363LA2100X
Acute Care Nurse Practitioner
65285
NM
363LA2200X
Adult Health Nurse Practitioner
Primary
4704301257
MI
363LG0600X
Gerontology Nurse Practitioner
ME6859346
PA
363LG0600X
Gerontology Nurse Practitioner
SP034218
PA
Other
Enumeration date
09/01/2016
Last updated
05/15/2026
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