MRS. SANDRA L ELLIOTT F.N.P. NPI 1699777649

NPI Information

NPI: 1699777649
Provider Name: MRS. SANDRA L ELLIOTT, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
39350 9 MILE RD
NORTHVILLE, MI
ZIP 48167
Phone: (248) 425-5149
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MRS. Sandra L Elliott, F.N.P. is a family nurse practitioner in Northville, MI. MRS. Sandra L Elliott, F.N.P. NPI is 1699777649. 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:

39350 9 MILE RD
NORTHVILLE, MI
ZIP 48167-164
Phone: (248) 425-5149

The enumeration date for this NPI number is 8/10/2005 and was last updated on 1/20/2009.

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	4704077181	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P34780021	MEDICARE PIN	MICHIGAN
2	S33067	MEDICARE UPIN	MICHIGAN
3	4476822	MEDICAID	MICHIGAN
4	0N48000	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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