Andrew Roger Stacey, NP
Nurse Practitioner in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1548756901
StatusActive
Last updated in NPPESDec 13, 2018
Details
- NPI
- 1548756901
- Entity type
- Individual (NPI-1)
- Name
- Andrew Roger Stacey
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2018
- Last updated
- Dec 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704292793 | MI | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 4704292793 | MI |
Practice location
1500 East Medical Center Dr3rd Floor Cardiovascular Center
Ann Arbor, MI 48109-5856
Phone 888-287-1082
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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