Healthcare Provider Details

I. General information

NPI: 1851226963
Provider Name (Legal Business Name): ELIZABETH KRYSTINA NESSIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 N HAYFORD AVE
LANSING MI
48912-3553
US

IV. Provider business mailing address

4435 HERITAGE AVE APT 7B
OKEMOS MI
48864-3320
US

V. Phone/Fax

Practice location:
  • Phone: 313-686-6394
  • Fax:
Mailing address:
  • Phone: 313-686-6394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: