Individual
ANGELA ELAINE EBURUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4700 SCHAEFER RD, DEARBORN, MI 48126-3698
(888) 562-5442
(562) 499-6171
Mailing address
200 OCEANGATE, 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14280
CT
363LF0000X
Family Nurse Practitioner
4049415
KY
363LF0000X
Family Nurse Practitioner
Primary
4704236723
MI
Other
Enumeration date
11/16/2014
Last updated
02/05/2026
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