Search › Alaska › 1041C0700X
Michelle Ely, LCSW
NPI 1366980260 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2630 Central Ave
Eielson Afb, AK 99702 - Phone
- (907) 377-4041
- Organisation at this address
- 354th Medgrp-Eielson
354th Medgrp-EielsonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- CA, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska