Individual
BETH ANNE-ROBERTS STANAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, MPH
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(906) 449-3000
Mailing address
2117 DEER LAKE AVE, ISHPEMING, MI 49849-3209
(906) 250-3203
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4704361977
MI
363LF0000X
Family Nurse Practitioner
Primary
4704361977
MI
Other
Enumeration date
02/12/2024
Last updated
02/15/2024
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