Individual
COURTNEY ELYSE FEZZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 E LAFAYETTE ST, DETROIT, MI 48207-3812
(313) 567-0534
(313) 567-0560
Mailing address
3200 E LAFAYETTE ST, DETROIT, MI 48207-3812
(313) 567-0534
(313) 567-0560
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4704268781
MI
Other
Enumeration date
01/07/2014
Last updated
02/08/2019
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