Individual
HALEY CARISSA STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1192 W BRISTOL RD, FLINT, MI 48507-5518
(810) 535-5530
Mailing address
3048 GEHRING DR, FLINT, MI 48506-2262
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
4704350735
MI
363L00000X
Nurse Practitioner
Primary
4704350735
MI
Other
Enumeration date
11/18/2019
Last updated
11/11/2022
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