Individual
ELIZABETH ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 HAZEN ST STE L3, PAW PAW, MI 49079-1040
(269) 657-1595
(269) 657-1534
Mailing address
404 HAZEN ST STE L3, PAW PAW, MI 49079-1040
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704280223
MI
Other
Enumeration date
06/30/2015
Last updated
12/22/2025
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