Wiersma, Elise Marie

Wiersma, Elise Marie is an individual health care provider with primary practice located at 6001 W Outer Dr Suite 445, Detroit MI 48235-2614. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wiersma, Elise Marie can be contacted via phone (313) 966-9777.

Contact Information

Primary practice address
6001 W Outer Dr Suite 445 Detroit MI 48235-2614
Phone: (313) 966-9777
Fax: (313) 966-9767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704295406 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704295406 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704295406 Michigan

Profile Details

NPI number 1407237548
LBN Legal business name Wiersma, Elise Marie
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Oct 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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