Individual
STEPHANIE MICHELLE CASTELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SOUTH BLVD E STE 190, ROCHESTER HILLS, MI 48307-6124
(586) 580-0760
Mailing address
51738 LESHAN DR, CHESTERFIELD, MI 48047-3178
(586) 419-4856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704313742
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704313742
MI
Other
Enumeration date
04/14/2019
Last updated
11/09/2021
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