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

Tyara Cinque Evelyn Ellis

Individual provider Critical Care Medicine Registered Nurse · NPI 1720790751

Tyara Cinque Evelyn Ellis is a Critical Care Medicine Registered Nurse in Lincoln Park, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

1431 Montie Rd
Lincoln Park, MI 48146-1569
Phone: (313) 948-0387
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 163WC0200X (MI)

Record details

NPI number1720790751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022