Haley Lynn Stutzky, NP
Nurse Practitioner, Gerontology in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1063147486
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1063147486
- Entity type
- Individual (NPI-1)
- Name
- Haley Lynn Stutzky
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 4704316348 | MI | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 4704316348 | MI |
Other names
- Haley Vanwormer (Former Name)
Practice location
100 Michigan St Ne # Mc019Grand Rapids, MI 49503-2560
Phone 616-486-0310
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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