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Individual
MS. ANGELA MICHELLE STATHOPOULOS
Active
Individual
MS. ANGELA MICHELLE STATHOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704235236
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704235236
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
4704235236
MI
Other
Enumeration date
09/29/2008
Last updated
09/04/2024
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