SUSAN D ELLISON RN NPI 1255960597

NPI Information

NPI: 1255960597
Provider Name: SUSAN D ELLISON, RN
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
5629 STADIUM DR STE D
KALAMAZOO, MI
ZIP 49009
Phone: (269) 372-5701
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Susan D Ellison, RN is an ambulatory care registered nurse in Kalamazoo, MI. Susan D Ellison, RN NPI is 1255960597. 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:

5629 STADIUM DR STE D
KALAMAZOO, MI
ZIP 49009-952
Phone: (269) 372-5701
Fax: (269) 372-5702

The enumeration date for this NPI number is 4/8/2020 and was last updated on 4/8/2020.

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	163WP2201X	Registered Nurse	Ambulatory Care	470422171	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: 11/14/2023

NPI Synchronization or Removal

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