Individual
MRS. STACY DECROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1768 FORD AVE, WYANDOTTE, MI 48192-2306
(734) 299-0712
Mailing address
1768 FORD AVE, WYANDOTTE, MI 48192-2306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704329149
MI
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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