Provider Demographics
NPI:1316005085
Name:TARRIER, ELLA MAY A (RN, CPNP)
Entity Type:Individual
Prefix:
First Name:ELLA MAY
Middle Name:A
Last Name:TARRIER
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5081 PRATT RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1488
Mailing Address - Country:US
Mailing Address - Phone:734-769-8693
Mailing Address - Fax:
Practice Address - Street 1:47 N HURON ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2607
Practice Address - Country:US
Practice Address - Phone:734-484-3600
Practice Address - Fax:734-484-3100
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704084136363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics