Individual provider · Type 1 NPI
Staci Michele Kaczor, NP
Family Nurse Practitioner · Ann Arbor, MI
NPI number
1487888970
Active
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704225310 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704225310 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487888970
Staci Michele Kaczor, NP's National Provider Identifier is 1487888970, issued on May 12, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jan 28, 2020.