Individual
STACY L MCCARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503-2562
(616) 486-5933
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704211661
MI
363LF0000X
Family Nurse Practitioner
Primary
4704211661
MI
Other
Enumeration date
06/13/2006
Last updated
03/26/2026
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