Individual
STEPHANIE L PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1500 E MEDICAL CENTER DR, C.S. MOTT CHILDRENS HOSPITAL 11TH FLOOR, ANN ARBOR, MI 48109-4204
(734) 936-4978
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284726
MI
363LP0222X
Critical Care Pediatric Nurse Practitioner
4704284726
MI
363LP0222X
Critical Care Pediatric Nurse Practitioner
RN28932
OH
Other
Enumeration date
05/05/2011
Last updated
11/21/2012
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