Individual provider · Type 1 NPI
Mary Bruce Stallard, NP
Family Nurse Practitioner · Birmingham, MI
NPI number
1376081737
Active
Practice location
1027 Clark St
Birmingham, MI 48009-3630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704298881 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376081737
Mary Bruce Stallard, NP's National Provider Identifier is 1376081737, issued on Feb 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, MI. The record was last updated on Feb 6, 2017.