Individual
STACY R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230
(313) 473-1605
Mailing address
130 TOWN CENTER DR STE 203, WILLIAM BEAUMONT HOSPITAL, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704230848
MI
Other
Enumeration date
05/01/2014
Last updated
08/15/2024
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