Individual provider · Type 1 NPI
Nicole Stacy
Acute Care Nurse Practitioner · Ypsilanti, MI
NPI number
1457043077
Active
Practice location
Iha Hospital Medicine Services, 5301 Mcauley Drive
Ypsilanti, MI 48197
Fax (517) 205-5968
Mailing address
24 Frank Lloyd Wright Drive, J2000
Ann Arbor, MI 48105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704346507 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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- Caryn Elizabeth Lamb Burke, AGACNP-BCAcute Care Nurse Practitioner Ypsilanti, MI NPI 1316680861
- Johanna Elaine Thornsberry, N.P.Acute Care Nurse Practitioner Ypsilanti, MI NPI 1326324435
About NPI 1457043077
Nicole Stacy's National Provider Identifier is 1457043077, issued on May 23, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ypsilanti, MI. The record was last updated on Jul 28, 2026.