MRS. DIANNA GRACE EHLERT (NPI# 1336695923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336695923 |
| Entity Type | Individual |
| Full Name | MRS. DIANNA GRACE EHLERT |
| Other Name | MISS DIANNA PEERCY |
| Credential | MSN, RN, AGACNP-BC |
| Practice Address |
311 Mack Ave Ste 64100 Detroit MI 48201-2466 |
| Mailing Address |
311 Mack Ave., Ste 6411 Vascular Surgery Detroit MI 48201-2466 |
| Practice Telephone | 3138320650 |
| Mailing Telephone | 7346823309 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704301257 | MI | Nursing Service Providers |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4704301257 | MI | Allopathic & Osteopathic Physicians |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704301257 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704301257 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 N Monroe St, Monroe, MI 481623113 | 2483969077 |
| Street Address |
311 MACK AVE STE 64100 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248354 | Kenton J Zehr | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2006-01-03 |
| 1043612567 | Justin Thomas Marzean | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2014-09-17 |
| 1073914214 | Joshua Hoover | Nurse Practitioner | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2014-09-08 |
| 1689091878 | Melanie Schwiesow | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2014-03-25 |
| 1104161686 | Edith Anne Chittenden | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-12-10 |
| 1396091328 | Dave B Cuvi | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-07-27 |
| 1306191853 | Zaher Hakim | Internal Medicine | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-07-20 |
| 1689828238 | M. Chadi Alraies | Internal Medicine | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2008-11-10 |
| 1437315660 | Joan Frances Benedetti | Nurse Practitioner | 311 Mack Ave Ste 64100, Detroit, MI 48201-6712 | 2008-08-07 |
| 1457458929 | Franco L Fazzalari | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2006-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1811202310 | Ronda Lyn Bryant | Nurse Practitioner | 17600 Ryan Rd, Detroit, MI 48212-1155 | 2010-08-10 |
| 1104902915 | Kathleen Ann Brady | Nurse Practitioner | Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 | 2006-10-27 |
| 1619914199 | Sheryl Jean Marentette | Nurse Practitioner | 4646 John R St Ste A3118, Detroit, MI 48201-1916 | 2006-06-01 |
| 1952918740 | Lisa Colombo | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-09-26 |
| 1558976928 | Ashley Mary Asmar | Nurse Practitioner | 3990 John R St, Detroit, MI 48201-2018 | 2020-09-12 |
| 1881218790 | Erin Marie Dinnell | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-05 |
| 1780205179 | Sabastan Patrick Knight | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-04-27 |
| 1225673114 | Marlon Nicdao | Nurse Practitioner | 3990 John R St, Detroit, MI 48201-2018 | 2019-11-14 |
| 1265077408 | Megan Nicole Hodson | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-11-12 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MRS. DIANNA GRACE EHLERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.