Individual provider · Type 1 NPI

Elyse C. Van Ittersum, FNP-C

Family Nurse Practitioner · Troy, MI

NPI number 1730795485 Active

Practice location

4060 Rochester Rd
Troy, MI 48085-4923

Fax (248) 250-6430

Mailing address

6058 Hearthside Dr
Troy, MI 48098-5363

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704341270 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1730795485

Elyse C. Van Ittersum, FNP-C's National Provider Identifier is 1730795485, issued on Sep 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Troy, MI. The record was last updated on Apr 6, 2023.