Quiana Lynell Stephens-mack MSN CPNP

NPI 1770832966 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1770832966
Gender Female
Enumeration Date 09/04/2012
Last Updated 12/09/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
12800 KELLY RD
ST JOHN HEALTH CENTER, RM 102B
DETROIT MI, 48224-1506, US
Phone (313) 372-3826
Fax (313) 372-3990
Business Location
22475 CULPEPER DR
CLINTON TOWNSHIP MI, 48035-4245, US
Phone (313) 549-7406
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Michigan
License Number 4704245159
Remove 1770832966 NPI Number
 

According to our database, Quiana Lynell Stephens-mack MSN CPNP NPI is 1770832966, taxonomy code is 363LP0200X and license number is 4704245159, license state is located at Michigan. Quiana Lynell Stephens-mack MSN CPNP physically located at 12800 Kelly Rd, Detroit MI, 48224-1506. NPI Number Quiana Lynell Stephens-mack MSN CPNP has the Individual type.

Sponsored links

1770832966 NPI number is provided on an as is basis without warranty of any kind. 1770832966 is maintained by the National Plan & Provider Enumeration System. The contents of Quiana Lynell Stephens-mack MSN CPNP are for informational purposes only.