Stacey Maguire
Registered Nurse, Pediatrics in Grandville, MI. Individual provider (NPI-1).
NPI number1356973739
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1356973739
- Entity type
- Individual (NPI-1)
- Name
- Stacey Maguire
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0200X | Registered Nurse, Pediatrics | 4704330144 | MI | Yes |
Practice location
3097 Prairie St SwGrandville, MI 49418-2000
Phone 616-531-9973
Mailing address
3097 Prairie St SwGrandville, MI 49418-2000
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