Individual provider · Type 1 NPI

Stacey Renae Couch

Family Nurse Practitioner · Southfield, MI

NPI number 1215690458 Active

Practice location

18591 W 10 Mile Rd
Southfield, MI 48075-2619

Fax (248) 621-9553

Mailing address

23938 Fairview Ct
Farmington Hills, MI 48335-3117

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704321587 (MI)
Family Nurse Practitioner Primary 363LF0000X4704321587 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1215690458

Stacey Renae Couch's National Provider Identifier is 1215690458, issued on Oct 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Jan 9, 2024.