Provider Demographics
NPI:1700031747
Name:SYTSMA, LOUIS JOHN (DNP, PMHNP, BC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JOHN
Last Name:SYTSMA
Suffix:
Gender:M
Credentials:DNP, PMHNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5574 BAY SHORE DR
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:MI
Mailing Address - Zip Code:49777-8465
Mailing Address - Country:US
Mailing Address - Phone:989-595-3282
Mailing Address - Fax:
Practice Address - Street 1:112 S FIRST AVE
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-2812
Practice Address - Country:US
Practice Address - Phone:989-358-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704107151363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health