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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHRISTA LYNNE ELLINGSWORTH, NP

Active Sole Proprietor

MR. CHRISTA LYNNE ELLINGSWORTH, NP is a Family Nurse Practitioner healthcare provider located in CLARKSTON, Michigan. NPI 1770655995 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CLARKSTON, MI

Registration Details

NPI Number
1770655995
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2006 (19.708214264212 yrs)
Last Updated
Jul 8, 2007
License
4704195469 (MI)
Sole Proprietor
Yes

Practice Information

Address
5724 SHANNON LN
CLARKSTON, MI, 483485165
Browse MI providers · Browse ZIP 48348
Phone
2483930043
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in CLARKSTON, MI

Name Credential NPI
MS. JOANNA MARIE DHALIWAL NP 1770737066
LEIGH WILSON FNP 1841663119
BIANCA GREEN NP 1154872190
KENZIE GARDNER NP 1720596802
NICOLE HOSLER FNP-C 1255833992
WANDA M LEWIS FNP 1346731866
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.