Individual
STACY LYNN CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 396-9418
(906) 779-3112
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 396-9418
(906) 779-3112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704207267
MI
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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