Ellstrom, Katie Rose

Ellstrom, Katie Rose is an sole proprietor health care provider with primary practice located at 29500 Southfield Rd , Southfield MI 48076-2030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ellstrom, Katie Rose can be contacted via phone (248) 765-1795.

Contact Information

Primary practice address
29500 Southfield Rd Southfield MI 48076-2030
Phone: (248) 765-1795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704339527 Michigan

Profile Details

NPI number 1710752035
LBN Legal business name Ellstrom, Katie Rose
Credentials DNP, RN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2023
Last updated Apr 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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