Individual
MR. NILO SALAVARRIA ELIZALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
31500 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(800) 395-3223
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704294748
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704294748
MI
Other
Enumeration date
04/26/2019
Last updated
12/29/2022
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