MRS. MARIELLE ELLIOT (NPI# 1508369752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508369752 |
| Entity Type | Individual |
| Full Name | MRS. MARIELLE ELLIOT |
| Credential | FNP-BC |
| Practice Address |
6690 Rolling Meadow Dr Davisburg MI 48350-2950 |
| Practice Telephone | 2489045004 |
| Mailing Telephone | 2489045004 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704260904 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6690 ROLLING MEADOW DR |
| City | DAVISBURG |
| State | MI |
| Zip Code | 48350-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194207548 | Christopher Elliot | Nurse Practitioner | 6690 Rolling Meadow Dr, Davisburg, MI 48350 | 2018-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720283856 | Mark Allen Dennis | Dentist | 16104 Dixie Hwy, Davisburg, MI 48350 | 2007-06-19 |
| 1497848121 | William Sophiea | Psychologist | 6887 Dixie, Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1376641803 | Bonnie Sue Blanzy | Counselor | 12850 Fountain Sq., Ste. 106, Davisburg, MI 48350 | 2006-09-20 |
| 1841384328 | Elise Finch-sophiea | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1063520435 | Pine Knob Pharmacy 5 Inc | Pharmacy | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-08-27 |
| 1174866982 | North Oakland Family Medical, PC | General Practice | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2013-03-29 |
| 1538464953 | Ramla Shahab Moghul | Family Medicine | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2011-01-15 |
| 1881836435 | Opdyke Diagnostic Center Plc | Specialist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2009-03-28 |
| 1598933772 | Pine Knob Pharmacy #5 | Durable Medical Equipment & Medical Supplies | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2008-02-11 |
| 1225119324 | Courtney Elizabeth Plas | Pharmacist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-10-17 |
| Find all providers in zip 48350 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811142821 | Jacqueline Ann Dye | Nurse Practitioner | 6752 Rolling Meadow Dr, Davisburg, MI 48350-2952 | 2008-11-19 |
| 1194207548 | Christopher Elliot | Nurse Practitioner | 6690 Rolling Meadow Dr, Davisburg, MI 48350 | 2018-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.