Individual
ELISE NICOLE HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN PMHNP-BC
Contact information
Practice address
23016 HARDING ST, OAK PARK, MI 48237-2447
(810) 941-1651
Mailing address
23016 HARDING ST, OAK PARK, MI 48237-2447
(810) 941-1651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704274113
MI
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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