Individual
MRS. STACIE DAWN VANDERVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 S INDUSTRIAL HWY SPC 5758, ANN ARBOR, MI 48104-6796
(734) 477-7298
(734) 998-2369
Mailing address
2850 S INDUSTRIAL HWY SPC 5758, ANN ARBOR, MI 48104-6796
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
4704254099
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46848699
—
MI
Enumeration date
09/30/2009
Last updated
09/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us