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Individual

ERICA MARIE ELLUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, AGACNP-BC

Contact information

Practice address
1537 MONROE ST STE 100, DEARBORN, MI 48124-2842
(313) 359-2100
(313) 359-2104
Mailing address
41672 W VILLAGE GREEN BLVD APT 205, CANTON, MI 48187-3875
(313) 613-1657

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704242320
MI

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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