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TYARA CINQUE EVELYN ELLIS
NPI 1720790751
Registered Nurse - Critical Care Medicine in Lincoln Park, MI

Active since December 21, 2022
1431 MONTIE RD, LINCOLN PARK, MI 48146(313) 948-0387 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tyara Cinque Evelyn Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYARA CINQUE EVELYN ELLIS (NPI 1720790751) is an individual critical care medicine provider in Lincoln Park, Michigan, licensed in Michigan (163WC0200X) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1720790751
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameTYARA CINQUE EVELYN ELLIS
Location Address1431 MONTIE RDLincoln Park, MI 48146-1569
Mailing Address1431 Montie RdLincoln Park, MI 48146-1569 · (313) 948-0387
Phone(313) 948-0387
Sole ProprietorNo
Enumeration DateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1720790751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in MI · 163WC0200X
1431 MONTIE RD, Lincoln Park, MI 48146
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyara Ellis's NPI number?

The NPI number for Tyara Ellis is 1720790751. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Tyara Ellis located?

Tyara Ellis practices at 1431 Montie Rd, Lincoln Park, MI 48146. The listed phone number is (313) 948-0387.

What is Tyara Ellis's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Tyara Ellis was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.