Diane Ellithorpe
NPI #1194285940 in Swartz Creek, Michigan
Provider Information
- NPI Number
- 1194285940
- Entity Type
- Individual
- Name
- Diane Ellithorpe
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Mar 20, 2019
Practice Location
- Address
- 4202 HICKORY LN
- City
- Swartz Creek
- State
- Michigan
- ZIP Code
- 48473-1588
- Phone
- (810) 347-3606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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