Individual
STACY OCHSENRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007-5341
(269) 341-8855
(269) 341-8743
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704186037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003822412
BCBSM - BRONSON
MI
05
—
1598096406
—
MI
Enumeration date
01/18/2010
Last updated
06/04/2014
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