Individual
STEPHANIE DOMINIQUE GIALDI BOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Mailing address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704314584
BOARD OF NURSING
MI
Enumeration date
10/08/2018
Last updated
12/10/2025
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