COLLEEN ERIN ELLIS


Address: 1080 Walloon Way, Lake Orion, MI 48360-1318
Phone: 2482109115

COLLEEN ERIN ELLIS (NPI# 1437539681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437539681
Entity Type Individual
Full Name COLLEEN ERIN ELLIS
Credential FNP-C
Practice Address 1080 Walloon Way
Lake Orion
MI 48360-1318
Mailing Address 1101 W University Dr
Rochester Hills
MI 48307-1863
Practice Telephone 2482109115
Enumeration Date 2015-06-03
Last Update Date 2015-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704262495 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers COLLEEN ELLIS

NPI Name Taxonomy Address Enumeration
1407123672 Colleen Elizabeth Ellis Speech-Language Pathologist 20 E Clinton Ave, Haddon Township, NJ 08107-1355 2011-11-16
1295708063 Colleen Ellis Social Worker 2201 Sw 29th St, Topeka, KS 66611 2006-02-10
1225436801 Colleen Ellis Nurse Practitioner 4923 Ogletown Stanton Rd Ste 200, Newark, DE 19713 2014-12-12
1245556893 Colleen Violet Ellis Counselor 195 W 12th Ave, Eugene, OR 97401 2010-04-07

Office Location

Street Address 1080 WALLOON WAY
City LAKE ORION
State MI
Zip Code 48360-1318

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124409446 Kyle Vires Licensed Practical Nurse 2271 Geyer Ct, Lake Orion, MI 48360 2015-06-11
1871931592 Ihsan Asbahi Anesthesiology 1234 S Lapeer Rd, Lake Orion, MI 48360 2013-06-05
1205119567 Michigan Bone and Joint Center Orthopaedic Surgery 1251 S. Lapeer Rd., Suite #102, Lake Orion, MI 48360 2011-09-23
1629226139 Travis L Summerville Physical Therapist 1298 Walloon Way, Lake Orion, MI 48360 2008-09-09
1982878609 Audrey Vizzaccaro Physician Assistant 1261 South Lapeer Rd, Ste 201, Lake Orion, MI 48360 2008-04-14
1881872265 H & L Drugs Inc Durable Medical Equipment & Medical Supplies 1455 S Lapeer, Suite 101, Lake Orion, MI 48360 2008-02-07
1598952129 Oakland Psychological Clinic, P.C. Counselor 1455 S Lapeer Rd Ste 175n, Lake Orion, MI 48360 2007-09-27
1700098704 Laura Elizabeth Salome Audiologist 1176 S. Lapeer Rd, Lake Orion, MI 48360 2007-05-04
1780743658 Frank James Iulianelli Chiropractor 2523 South Lapeer Road, Lake Orion, MI 48360 2006-12-07
1942377122 James C Komendera Dds PC Dentist 1135 S Lapeer Rd, Lake Orion, MI 48360 2006-11-30
Find all providers in zip 48360

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114493384 Jeffrey Thomas Snyder Nurse Practitioner 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1468 2018-10-15
1285125625 Suzana Marku Nurse Practitioner 1420 S Lapeer Rd, Lake Orion, MI 48360-1437 2018-05-22
1962866533 Allison Laprise Nurse Practitioner 1240 S Lapeer Rd Ste 101a, Lake Orion, MI 48360-1470 2016-04-11
1821453218 Amanda Lynn Allen Nurse Practitioner 3079 S Baldwin Rd Ste 1076, Lake Orion, MI 48359-1028 2015-12-29
1043613649 Daniel Clark Nurse Practitioner 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 2014-09-27
1811201114 Deborah Ann Romain Nurse Practitioner 488 N Washington St, Lake Orion, MI 48362-3273 2010-07-29
1043859564 Amy Olds Nurse Practitioner 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1468 2020-01-01
1679042949 Haneet Multani Nurse Practitioner 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1468 2018-11-16
1487136552 Shawna Susanne Cuda Nurse Practitioner 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 2018-09-05
1053848614 Brittany Shamoun Nurse Practitioner 1455 S Lapeer Rd Ste 100, Lake Orion, MI 48360-1468 2017-05-15
Find all providers in LAKE ORION

Competitor

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City LAKE ORION
Zip Code 48360

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Dataset Information

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.

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