Individual
MRS. STEPHANIE KACHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
75 BARCLAY CIR, SUITE 225, ROCHESTER HILLS, MI 48307-5820
(248) 299-1892
Mailing address
75 BARCLAY CIR, SUITE 225, ROCHESTER HILLS, MI 48307-5820
(248) 299-1892
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
22383
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
4704253075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22383
CA BOARD OF REGISTERED NURSING
CA
Enumeration date
09/20/2012
Last updated
12/08/2015
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