Search › Michigan › 363LA2200X
Stacy Simons, AGPCNP-BC
NPI 1558716324 · on the registry since 2016 · sole proprietor
Practice
- Address
- 400 Mack Ave
Detroit, MI 48201 - Phone
- (877) 227-8823
- Organisation at this address
- Wayne Pediatrics Inc.
University Physician Group
Supportive Care Services Of Michigan IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 18101 Oakwood Blvd, Dearborn, MI
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
363LP2300X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan