Individual
ELIZABETH ANNE MIELOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(248) 259-6364
Mailing address
26335 SHUMANS WAY, SOUTH LYON, MI 48178-8614
(248) 259-6364
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
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