Valerie Ellis, CCHT
Nurse's Aide in Detroit, MI. Individual provider (NPI-1).
NPI number1417569740
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1417569740
- Entity type
- Individual (NPI-1)
- Name
- Valerie Ellis
- Credential
- CCHT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 230015045620610 | MI | Yes |
Practice location
6871 Longacre StDetroit, MI 48228-4700
Phone 586-339-2444
Mailing address
6871 Longacre StDetroit, MI 48228-4700
Phone 586-339-2444
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