Individual
MRS. ELISHIA M. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NNP-BC
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3325
Mailing address
PO BOX 446, ANN ARBOR, MI 48106-0446
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
209010253
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
4704246715
MI
Other
Enumeration date
11/23/2009
Last updated
10/14/2016
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