Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLE KRISTINE ELLIS, D.O.
Active Sole ProprietorDR. NICHOLE KRISTINE ELLIS, D.O. is a Pediatrics healthcare provider located in HILLSDALE, Michigan. NPI 1174769830 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · HILLSDALE, MI
Registration Details
- NPI Number
- 1174769830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 31, 2008 (17.628806421619 yrs)
- Last Updated
- Jul 19, 2010
- License
-
5101018596 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
187 S HOWELL STHILLSDALE, MI, 492422069Browse MI providers · Browse ZIP 49242
- Phone
- 5174375385
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.