Individual provider · Type 1 NPI

Stacey Van Dike, RN, AGACNP-BC

Acute Care Nurse Practitioner · Royal Oak, MI

NPI number 1437670262 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 3990 John R St, Detroit, MI 48201-2018 · (313) 745-8792

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2017011469 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1437670262

Stacey Van Dike, RN, AGACNP-BC's National Provider Identifier is 1437670262, issued on Jul 1, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 21, 2023.