Individual
LAURA N RYSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Mailing address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010455
IL
363LF0000X
Family Nurse Practitioner
4704254580
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041357228
DEPT OF FINANCIAL AND PROF REGULATION
IL
01
—
209.010455
APN LICENCE
IL
Enumeration date
07/08/2013
Last updated
01/15/2026
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