Individual provider · NPI-1

Elizabeth Lucy Albert, NP

Nurse Practitioner, Gerontology · Southfield, MI

NPI number1619379690
StatusActive
Last updated in NPPESJan 9, 2025

Details

NPI
1619379690
Entity type
Individual (NPI-1)
Name
Elizabeth Lucy Albert
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2014
Certification date
Jan 9, 2025
Last updated
Jan 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology4704259288MIYes
363LA2100X Nurse Practitioner, Acute CareAP129716TX

Other names

  • Elizabeth Lucy Miles (Former Name)

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone 248-849-5806 · Fax 248-849-5489

Mailing address

1222 10th Ave
Port Huron, MI 48060-3406

Phone 810-985-9681

Other practice locations

47601 Grand River Ave
Novi, MI 48374-1233

Phone 248-465-4311 · Fax 248-465-4651

1222 10th Ave
Port Huron, MI 48060-3406

Phone 810-985-9681

22999 Us-59 North
Kingwood, TX 77339

Phone 810-650-5941

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