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

Andrea Ellens

Individual provider Registered Dietitian · NPI 1508592304

Andrea Ellens is a Registered Dietitian in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Phone: (616) 486-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1508592304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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