Individual
JULIE EBBING-LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-3300
Mailing address
44038 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48302-5037
(248) 335-1064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704136062
MI
Other
Enumeration date
03/29/2007
Last updated
10/22/2020
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