Elan Vitale Healthy Living Solutions
NPI #1982107140 in Dearborn Hts, Michigan
Provider Information
- NPI Number
- 1982107140
- Entity Type
- Organization
- Organization Name
- Elan Vitale Healthy Living Solutions
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 14, 2018
- Last Updated
- Mar 14, 2018
Practice Location
- Address
- 27247 JOY RD
- City
- Dearborn Hts
- State
- Michigan
- ZIP Code
- 48127-1022
- Phone
- (248) 667-6307
Authorized Official
- Name
- JACKIE DUNCAN, PMHNP
- Title
- NURSE PRACTITIONER
- Phone
- (248) 667-2531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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