Individual
ELIZABETH ANNE SERGISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1625995
CO
163W00000X
Registered Nurse
4704282615
MI
163W00000X
Registered Nurse
RN84124
NV
363LA2100X
Acute Care Nurse Practitioner
Primary
4704282615
MI
Other
Enumeration date
04/04/2016
Last updated
07/19/2022
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