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Kelly Stasa, CNP
Family Nurse Practitioner in Blissfield, Michigan
NPI 1912378134

Kelly Stasa is a Family Nurse Practitioner based in Jasper, MI and is specialized in Family. Kelly Stasa practices in Blissfield, MI and has the professional credentials of CNP. The NPI Number for Kelly Stasa is 1912378134 and holds a License No. COA.17942-NP (Michigan).

The current practice location address for Kelly Stasa is 157 W Brooke Ln, Blissfield, MI and can be reached out via phone at 517-486-2411.

Location: 157 W Brooke Ln, Blissfield, MI, 49248-9773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912378134
Provider Name
Kelly Stasa
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
157 W Brooke Ln, Blissfield, MI, 49248-9773
Phone Number
517-486-2411
Fax Number
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
157 W Brooke Ln
City
Blissfield
State
Michigan
Zip
49228-8601
Phone Number
517-486-2411
Fax Number
person
Provider Business Mailing Address Details
Address
157 W Brooke Ln
City
Blissfield
State
Michigan
Zip
49228-8601
Phone Number
517-486-2411
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.17942-NP (Ohio)
Definition
Definition to come...
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