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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704262495 | MI | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
1080 WALLOON WAY |
City | LAKE ORION |
State | MI |
Zip Code | 48360-1318 |
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 Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
City | LAKE ORION |
Zip Code | 48360 |
Please comment or provide details below to improve the information on COLLEEN ERIN ELLIS.
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.