Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYARA CINQUE EVELYN ELLIS
ActiveTYARA CINQUE EVELYN ELLIS is a Critical Care Nurse healthcare provider located in LINCOLN PARK, Michigan. NPI 1720790751 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse · LINCOLN PARK, MI
Registration Details
- NPI Number
- 1720790751
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2022 (3.6725719460719 yrs)
- Last Updated
- Dec 21, 2022
- License
-
163WC0200X (MI)
Practice Information
- Address
-
1431 MONTIE RDLINCOLN PARK, MI, 481461569Browse MI providers · Browse ZIP 48146
- Phone
- 3139480387
- Primary Specialty
-
Critical Care Nurse
163WC0200X
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.