Individual
ELIZABETH ANNE MIELOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704210153
MI
363LA2100X
Acute Care Nurse Practitioner
4704210153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4721491
—
MI
Enumeration date
06/27/2006
Last updated
01/24/2024
Update your record
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