Individual
STACEY LYNN LATULIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1366 HARTWIG DR, TROY, MI 48085-1230
(248) 495-2901
Mailing address
1059 OWENDALE DR, TROY, MI 48083-1913
(855) 838-4222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704285167
MI
Other
Enumeration date
06/13/2022
Last updated
06/14/2022
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