Individual
STACY MARIE RILEY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7951 SAINT PAUL ST, DETROIT, MI 48214-2445
(810) 701-8127
Mailing address
7951 SAINT PAUL ST, DETROIT, MI 48214-2445
(810) 701-8127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704362124
MI
Other
Enumeration date
09/09/2024
Last updated
01/28/2026
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