Individual
STACY DANIELLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 966-8341
(313) 966-6121
Mailing address
9792 SEAVITT DR, ALLEN PARK, MI 48101-1293
(734) 776-2279
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704310876NSA240SW
MI
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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