ELYSE C VAN ITTERSUM

TROY, MI
NPI1730795485
Former NameELYSE C REXER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704341270)
Enumeration Date2020-09-18
Last Update Date2023-04-06
Business Address
Ms. ELYSE C VAN ITTERSUM FNP-C
4060 ROCHESTER RD
TROY, MI 48085-4923
Phone number: 248-250-6420
Mailing Address
Ms. ELYSE C VAN ITTERSUM FNP-C
6058 HEARTHSIDE DR
TROY, MI 48098-5363
Phone number: 248-765-6535
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