Julie Ebbing-Lines, CNP
Individual provider Active NPI Nurse Practitioner · Commerce Township, MI
NPI 1508985409 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1508985409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704136062 (MI)
- Practice address
- 1 William Carls Dr
Commerce Township, MI 48382-2201 - Phone
- (248) 937-3300
- NPI assigned
- Mar 29, 2007
- 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
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704136062 | MI | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704136062 | MI | Yes |
Addresses
Primary practice location
1 William Carls Dr
Commerce Township, MI 48382-2201
Mailing address
44038 Woodward Ave Ste 200
Bloomfield Hills, MI 48302-5037
Phone (248) 335-1064
Other practice location 1
4949 Coolidge Highway
Beaumont Oakland Hills Cardiology
Royal Oak, MI 48073-1026
Phone (248) 655-3220
Other names
- Julie Ebbing-Maher
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jebbingmaher46596@direct.beaumont.edu |
Other providers in Commerce Township, MI
- Amanda Lynn Durand
- E Gay Eye Care PLLC
- E3 Michigan
- William Charles Easton
- Kamran Ebadi
- Michelle L Eccles -Major
- Edgewood Center Pediatrics PC
- Jessica Normile Edwards
- Julie Edwards
- Audrey Eisenman
All providers in Commerce Township, MI · 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 Oct 22, 2020. 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.