person
Mrs. Stacie Dawn Vanderver
Pediatric Registered Nurse in Ann Arbor, Michigan
NPI 1790019222

Stacie Dawn Vanderver is a Pediatric Registered Nurse based in Ann Arbor, MI and is specialized in Pediatrics. Stacie Dawn Vanderver practices in Ann Arbor, MI. The NPI Number for Stacie Dawn Vanderver is 1790019222 and holds a License No. 4704254099 (Michigan).

The current practice location address for Stacie Dawn Vanderver is 2850 S Industrial Hwy Spc 5758, Ann Arbor, MI and can be reached out via phone at 734-477-7298 and via fax at 734-998-2369.

Location: 2850 S Industrial Hwy Spc 5758, Ann Arbor, MI, 48104-6796
person
Provider Profile Details
NPI Number
1790019222
Provider Name
Stacie Dawn Vanderver
Credential
Provider Entity Type
Individual
Gender
Female
Address
2850 S Industrial Hwy Spc 5758, Ann Arbor, MI, 48104-6796
Phone Number
734-477-7298
Fax Number
734-998-2369
Provider Enumeration Date
09/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46848699 05 MI
institution
Provider Business Practice Location Address Details
Address
2850 S Industrial Hwy Spc 5758
City
State
Zip
48104-6796
Phone Number
734-477-7298
Fax Number
734-998-2369
person
Provider Business Mailing Address Details
Address
2850 S Industrial Hwy Spc 5758
City
State
Zip
48104-6796
Phone Number
734-477-7298
Fax Number
734-998-2369
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
4704254099 (Michigan)
Definition
Definition to come...
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