Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Ellis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356212708

Alexandra Ellis is a Student in an Organized Health Care Education/Training Program in Traverse City, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

105 Hall St
Traverse City, MI 49684-2288
Phone: (231) 922-4850
Fax: (231) 935-3696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356212708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address3875 Eagle Pass, Williamsburg, MI 49690-8609

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