Individual
MRS. SANDRA RENEE ELANGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, RN
Contact information
Practice address
148 N SAGINAW ST, PONTIAC, MI 48342-2195
(248) 221-9656
Mailing address
PO BOX 99544, TROY, MI 48099-9544
(248) 404-5280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704276551
MI
363LF0000X
Family Nurse Practitioner
Primary
4704276551
MI
Other
Enumeration date
08/17/2023
Last updated
03/06/2024
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