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NPI Code Detail

MEDICARE: ELIZABETH ANN PABIAN PMHNP-BC

MEDICARE: ELIZABETH ANN PABIAN PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4704366031MI

General Provider Information

NPI Number : 1730042193
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN PABIAN PMHNP-BC
Provider Business Mailing Address
First Line : 1227 W FARNUM AVE APT 202
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-1661
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1750 S TELEGRAPH RD STE 104
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0177
Country : US
Telephone Number : 248-256-5209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 03/26/2026

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