Individual provider · Type 1 NPI

Stacy Lynn Hansen-Goodell, FNP-C

Family Nurse Practitioner · Greenville, MI

NPI number 1689394660 Active

Practice location

615 S Bower St
Greenville, MI 48838-2614

Fax (616) 754-4043

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704227132 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1689394660

Stacy Lynn Hansen-Goodell, FNP-C's National Provider Identifier is 1689394660, issued on Aug 31, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, MI. The record was last updated on Dec 4, 2024.