DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELYSE FAIRAND

Active Sole Proprietor

ELYSE FAIRAND is a Gerontological Nurse Practitioner healthcare provider located in MAYWOOD, Illinois. NPI 1376214262 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · MAYWOOD, IL

Registration Details

NPI Number
1376214262
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2021 (4.849600654851 yrs)
Last Updated
May 19, 2022
Licenses
209024276 (IL)
AG06210021 (OH)
Sole Proprietor
Yes

Practice Information

Address
2160 S 1ST AVE
MAYWOOD, IL, 601533328
Browse IL providers · Browse ZIP 60153
Phone
3127746297
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in MAYWOOD, IL

Name Credential NPI
ANGELA KURIEN 1457800435
IRYNA LENO 1245894054
DR. ALEXANDRA LUCILLE MARCUS AGACNP-BC 1750084588
JESSICA DIANE DELGADO 1336839109
SOPHIA MALIK 1902584279
EMILIA KNOWSKI APN 1962288027
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.