Individual
COLLEEN ERIN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1080 WALLOON WAY, LAKE ORION, MI 48360-1318
(248) 210-9115
Mailing address
1101 W UNIVERSITY DR, ROCHESTER HILLS, MI 48307-1863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704262495
MI
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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