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Elaine Douglas — NPI 1326759580, Ishpeming, MI | NPI Central

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NPI 1326759580

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Elaine Douglas

NPI 1326759580 · Family Nurse Practitioner · Ishpeming, MI

Provider details

NPI number: 1326759580
Entity type: Individual
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: Yes
License: 4704349196 (MI)

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000XLicense 4704349196 (MI)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 4704349196 (MI)
Nursing Service Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

901 Lakeshore Dr

Ishpeming, MI 49849-1367

Phone: (906) 486-4431

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

901 Lakeshore Dr

Ishpeming, MI 49849-1367

Additional practice locations (1)

2382 US 41
Marquette, MI 49855
Phone: (906) 226-2233

Registry dates

Enumerated: 2022-12-08
Last updated: 2023-10-26
Certified: 2023-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.