Individual
DEVYN ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704338236
MI
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
4301514114
MI
Other
Enumeration date
07/04/2022
Last updated
06/09/2025
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