Individual
PATRICIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 N PINNEBOG RD, BAD AXE, MI 48413-9745
(989) 269-6870
Mailing address
490 N PINNEBOG RD, BAD AXE, MI 48413-9745
(989) 269-6870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704079409
MI
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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