Ellen F Lander (NPI# 1710209218, PAC ID# 7517991615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710209218 |
| PAC ID by PECOS | 7517991615 |
| Professional Enrollment ID | I20050919000593 |
| Full Name | Ellen F Lander |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Address |
625 Kenmoor Ave Se Suite 301 Grand Rapids MI 49546-2395 |
| Phone Number | 8665795103 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416170501 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| 1115 S Pennsylvania Ave, Lansing, MI 48912-1671 | 5178874647 | COUNTY OF INGHAM |
| 1115 S Pennsylvania Ave, River Oak Community Health Center, Lansing, MI 48912-1671 | 5178874647 | COUNTY OF INGHAM |
| 5303 S Cedar St, Cedar Community Health Center, Lansing, MI 48911-3800 | 5178874320 | COUNTY OF INGHAM |
| 5303 S Cedar St, Lansing, MI 48911-3800 | 5178874320 | COUNTY OF INGHAM |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ciara L Eatmon | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 |
| Sharon Lee Morris | Nurse Practitioner | Life Line Community Healthcare | 309 Court Ave, Suite 816, Des Moines, IA 50309-2282 |
| Laura Ann Rogers | Nurse Practitioner | Life Line Community Healthcare | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4800 |
| Marian Anne Ferguson | Nurse Practitioner | Life Line Community Healthcare | 1518 Willow Lawn Dr, Richmond, VA 23230-3419 |
| Wendy Ann Lunny | Nurse Practitioner | Life Line Community Healthcare | 615 W Johnson Ave, Cheshire, CT 06410-4532 |
| Laurie Eastwood Raher | Nurse Practitioner | Life Line Community Healthcare | 7455 Arroyo Crossing Pkwy, Suite 220, Las Vegas, NV 89113-4088 |
| Grace D Ortega-walker | Nurse Practitioner | Life Line Community Healthcare | 109 E 17th St, Suite 4984, Cheyenne, WY 82001-4543 |
| Deirdre Lott | Nurse Practitioner | Life Line Community Healthcare | 406 S Boulder Ave, Suite 400, Tulsa, OK 74103-3800 |
| Shimmy Manoj | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 |
| Bryn Miller | Nurse Practitioner | Life Line Community Healthcare | 6111 Oak Tree Blvd, Suite 301, Independence, OH 44131-2589 |
| Street Address |
625 KENMOOR AVE SE SUITE 301 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49546-2395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ciara L Eatmon | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 |
| Tarrah Kaplan | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 |
| Marilyn Kay Morgan | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 |
| Luann Etcher | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| David W Hamilton | Psychologist, Clinical | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 | |
| Elizabeth Ruth Smith | Clinical Social Worker | 616 Counseling Professional Corporation | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 |
| Shawn L Gauthier | Clinical Social Worker | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546-2137 | |
| Emily M. English | Obstetrics/gynecology | Metropolitan Hospital | 4055 Cascade Rd Se, Metro Hlth Gynecologic Oncology, Grand Rapids, MI 49546-2149 |
| Lydia J Sutton | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Scott A Baar | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Nathan J Andrews | Emergency Medicine | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Lorraine M Therrien | Certified Registered Nurse Anesthetist | Anesthesia Medical Consultants, PC | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 |
| George D Pommer | Psychologist, Clinical | 500 Cascade W Pkwy Se, Suite 100, Grand Rapids, MI 49546-2164 | |
| Find all physicians in zip 49546 | |||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAND RAPIDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ellen F Lander.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.