Individual
ELISE DANIELLE FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
1380 COOLIDGE HWY STE 110, TROY, MI 48084-7067
(248) 280-1867
(248) 280-0222
Mailing address
4230 LOU MAR LN, LAKE ORION, MI 48359-1905
(248) 202-3599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704268877
MI
Other
Enumeration date
09/15/2016
Last updated
05/12/2025
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