STACI PORTER

DETROIT, MI
NPI1508632175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704296884NSA230HZ)
Enumeration Date2023-11-27
Last Update Date2023-11-27
Business Address
STACI PORTER DNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-790-4029
Mailing Address
STACI PORTER DNP
23320 PARK PLACE DR
SOUTHFIELD, MI 48033-7115
Phone number: 313-790-4029
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