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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871108621

Ellyn Petrino, BSW is a Student in an Organized Health Care Education/Training Program in Kalamazoo, Michigan. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

610 S Burdick St
Kalamazoo, MI 49007-5221
Phone: (269) 381-3700
Fax: (269) 381-3810
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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 number1871108621
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

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