Individual
NILA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2810 ALISOP PL APT 306, TROY, MI 48084-3470
(713) 306-4539
Mailing address
2810 ALISOP PL APT 306, TROY, MI 48084-3470
(713) 306-4539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09201647
MI
Other
Enumeration date
10/04/2020
Last updated
10/05/2020
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