Individual
ABIGAYLE MONSON ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-C
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2000
Mailing address
9118 WOODLORE SOUTH DR, PLYMOUTH, MI 48170-3498
(630) 802-9120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704345446
MI
363LF0000X
Family Nurse Practitioner
Primary
4704345446NSA230EF
MI
Other
Enumeration date
01/21/2022
Last updated
06/01/2023
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