Individual
STACY LYNN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7368 MERIDIAN DR, YPSILANTI, MI 48197-9299
(734) 340-7987
(313) 334-3516
Mailing address
7368 MERIDIAN DR, YPSILANTI, MI 48197-9299
(734) 340-7987
(313) 334-3516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704274158
MI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
4704274158
MI
163WC0400X
Case Management Registered Nurse
4704274158
MI
163WC1500X
Community Health Registered Nurse
4704274158
MI
163WH0200X
Home Health Registered Nurse
4704274158
MI
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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