Elia, Nicolette Kristin

Elia, Nicolette Kristin is an sole proprietor health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Elia, Nicolette Kristin can be contacted via phone (800) 874-4806.

Contact Information

Primary practice address
6777 W Maple Rd West Bloomfield MI 48322-3013
Phone: (800) 874-4806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 818374 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704378265 Michigan

Profile Details

NPI number 1659882876
LBN Legal business name Elia, Nicolette Kristin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2017
Last updated Sep 15th, 2022 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659882876 NPPES
California Other 818374 BRN
California Other 119406 BRN

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