Individual
MS. STEPHANIE MARIE HORANIC VIDEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704220770
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704220770
MI
Other
Enumeration date
05/26/2011
Last updated
03/31/2025
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