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

Elisheva Ellenberg

Individual provider Family Nurse Practitioner · NPI 1831711936

Elisheva Ellenberg is a Family Nurse Practitioner in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (773) 517-7931
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704311157 (MI)

Record details

NPI number1831711936
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing address16986 Hilton St, Southfield, MI 48075-1915

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