Ellen Marie Herring, FNP
Individual provider Active NPI Family Nurse Practitioner · Bear Lake, MI
NPI 1316040645 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316040645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704105457 (MI)
- Practice address
- 8225 Lake St
Bear Lake, MI 49614 - Phone
- (231) 864-3314
- Fax
- (231) 864-3325
- NPI assigned
- Sep 5, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704105457 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704105457 | MI | Yes |
Addresses
Primary practice location
8225 Lake St
Bear Lake, MI 49614
Mailing address
6227 Frankfort Hwy
Benzonia, MI 49616-9654
Phone (231) 882-9661
Other providers in Bear Lake, MI
- Kelly Fischer
- Sydney Gore
- Glenn Charles Griffiths
- Craig Phillip Harless
- Jacob Hendrick
- Joy Davies Counseling LLC
- Matthew Kopacki
- Thressa Lahaye
- Keely-Shaye Lonsbury
- Audrey Mattingly
All providers in Bear Lake, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.