COURTNEY ELYSE FEZZEY


Address: 3200 E Lafayette St, Detroit, MI 48207-3812
Phone: 3135670534

COURTNEY ELYSE FEZZEY (NPI# 1073935383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073935383
Entity Type Individual
Full Name COURTNEY ELYSE FEZZEY
Practice Address 3200 E Lafayette St
Detroit
MI 48207-3812
Practice Telephone 3135670534
Practice Fax Number 3135670560
Mailing Telephone 3135670534
Mailing Fax Number 3135670560
Enumeration Date 2014-01-07
Last Update Date 2019-02-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
4704268781 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
39200 Garfield Rd, Suite E, Clinton Twp, MI 480384095 5862634010

Office Location

Street Address 3200 E LAFAYETTE ST
City DETROIT
State MI
Zip Code 48207-3812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447642004 Krzysztof Kuchta Counselor 3200 E Lafayette St, Detroit, MI 48207-3812 2015-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245848506 Anton R Gonzales Physical Therapy Assistant 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 2020-07-22
1033733928 Taleshia Moss Occupational Therapist 2295 Chene, Detroit, MI 48207 2020-06-05
1942858550 Ronald Royce Cochran Counselor 2925 Russell St, Detroit, Detroit, MI 48207 2019-08-27
1649831439 Charday Penick Social Worker Team Wellness, 2925 Russell St, Detroit, MI 48207 2019-06-24
1568023349 Alphia Ramona Burgess Social Worker Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 2019-06-24
1447741608 Sherice Ward Social Worker 100 River Place Drive, Ste 250, Detroit, MI 48207 2018-05-23
1427549955 Mission Point of Detroit, LLC Skilled Nursing Facility 2102 Orleans, Detroit, MI 48207 2018-05-21
1043723737 Olivia Carter Case Management 2712 Gratiot, Detroit, MI 48207 2017-11-16
1558885590 Kalimah Johnson Social Worker 701 Mcdougall, Detroit, MI 48207 2017-08-01
1922534692 Angela Young Social Worker 100 River Place 520, Detroit, MI 48207 2017-05-02
Find all providers in zip 48207

Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053650291 Michelle Mcnaughton Nurse Practitioner 5301 Beaubien Street, Detroit, MI 48201 2013-02-07
1801407119 Samantha Mulkiten Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2020-08-11
1104301910 Kacee Anne Harris-jones Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2018-09-27
1144731621 Erica Danielle Curtis Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2017-10-23
1922492750 Megan Worley Nurse Practitioner 3901 Beaubien St, 2nd Fl Carls Bldg, Detroit, MI 48201-2119 2015-03-18
1154664753 Kenneth James Early Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2013-04-02
1477875045 Cortney Lynn Mazur Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2010-02-23
1306168323 Lauren Michele Kelm Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2010-02-17
1710143730 Kristen Leigh Richards Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2008-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932629979 Tiffany Nicole Cassidy Nurse Practitioner 3037 Silverwood Dr, Saginaw, MI 48603-2171 2017-06-21
1851760870 Rebecca Lynn Tompkins Nurse Practitioner 1500 E Medical Center Dr, 11th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4204 2015-09-21
1124449459 Blythe Pollack Nurse Practitioner 1500 E Medical Center Dr, 10th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4286 2014-01-06
1851494272 Deborah Ann Stewart Nurse Practitioner 601 John St, Suite E-352, Kalamazoo, MI 49007-5341 2006-09-07

Competitor

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City DETROIT
Zip Code 48207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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