ELISHEVA ELLENBERG FNP-C NPI 1063053346

NPI Information

NPI: 1063053346
Provider Name: ELISHEVA ELLENBERG, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
CHILDREN'S SPECIALTY CENTER
3950 BEAUBIEN STREET - 3RD FL
DETROIT, MI
ZIP 48201
Phone: (313) 832-9330
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Elisheva Ellenberg, FNP-C is a family nurse practitioner in Detroit, MI with 5 years of experience. Elisheva Ellenberg, FNP-C NPI is 1063053346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CHILDREN'S SPECIALTY CENTER
3950 BEAUBIEN STREET - 3RD FL
DETROIT, MI
ZIP 48201-119
Phone: (313) 832-9330

The NPI 1063053346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 10/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704312142	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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