Brittany Ann Ellison

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Walker, MI

NPI 1124822283 · NPPES record last updated Apr 1, 2025

Key facts

NPI
1124822283
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2974 Valley Ave NW
Walker, MI 49544-1682
Phone
(616) 780-1769
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2974 Valley Ave NW
Walker, MI 49544-1682

Mailing address

2974 Valley Ave NW
Walker, MI 49544-1682
Phone (616) 780-1769

Other providers in Walker, MI

All providers in Walker, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.