Diana Elledge, RN

NPI 1629270079 · on the registry since 2007 · sole proprietor

Practice

Address: 26184 Outer Dr
Lincoln Park, MI 48146
Phone: (313) 389-7533
Fax: (313) 389-2956
Organisation at this address: Community Care Services
Community Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 96

Registry record

Primary taxonomy: 163WP0809X
163WP0809X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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 Michigan