Individual
STEPHANIE L CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44300 5 MILE RD, NORTHVILLE, MI 48168-9504
(866) 389-2727
Mailing address
9533 LAKESIDE DR, YPSILANTI, MI 48197-3033
(734) 512-6593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704313258
MI
363L00000X
Nurse Practitioner
4704313258
MI
363LF0000X
Family Nurse Practitioner
Primary
4704313258
MI
Other
Enumeration date
12/26/2021
Last updated
11/21/2024
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