Individual
ELLEN TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
815 BUSINESS PARK DR STE A, TRAVERSE CITY, MI 49686-8683
(231) 421-6921
Mailing address
4700 PARK FOREST DR, SUITE 208, TRAVERSE CITY, MI 49684-7041
(231) 935-5710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704282876
MI
Other
Enumeration date
12/27/2020
Last updated
09/20/2024
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