Individual
MRS. STACY LU ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
35 MICHIGAN ST NE STE 4150, GRAND RAPIDS, MI 49503-2529
(616) 267-2700
(616) 267-2701
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704299085
MI
363LP2300X
Primary Care Nurse Practitioner
4704299085
MI
Other
Enumeration date
09/29/2018
Last updated
06/19/2025
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