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Individual

ELAINE M MCNAMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
721 N SHIAWASSEE ST STE 101, OWOSSO, MI 48867-1632
(989) 729-4673
(989) 725-2617
Mailing address
721 N SHIAWASSEE ST STE 101, OWOSSO, MI 48867-1632
(989) 729-4673
(989) 725-2617

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704138357
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704138357
STATE LISC
MI
Enumeration date
08/11/2009
Last updated
09/11/2019
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