Individual
ALEXA RAE STORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(855) 618-6655
(248) 434-6169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704288159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083120497
—
MI
01
—
MI4989635
MEDICARE PTAN
MI
Enumeration date
12/20/2017
Last updated
03/05/2026
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