COLLEEN ERIN ELLIS FNP-C NPI 1437539681

NPI Information

  • NPI: 1437539681
  • Provider Name: COLLEEN ERIN ELLIS, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1080 WALLOON WAY
    LAKE ORION, MI
    ZIP 48360
  • Phone: (248) 210-9115

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NPI Details

Colleen Erin Ellis, FNP-C is a family nurse practitioner in Lake Orion, MI with 11 years of experience. Colleen Erin Ellis, FNP-C NPI is 1437539681. 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:

1080 WALLOON WAY
LAKE ORION, MI
ZIP 48360-318
Phone: (248) 210-9115

The NPI 1437539681 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 6/3/2015 and was last updated on 6/3/2015.

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
1363LF0000XNurse PractitionerFamily4704262495MICHIGANYes

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: 3/30/2025

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