Individual provider · Type 1 NPI
Stacy Moniz, AGNP-C
Gerontology Nurse Practitioner · Cadillac, MI
NPI number
1740819499
Active
Practice location
400 Hobart St
Cadillac, MI 49601-2331
Mailing address
3782 Momentum Place
Chicago, IL 60689-0001
Other practice locations
- 550 Munson Ave, Traverse City, MI 49686-3580 · (231) 935-6600
- 1465 E Parkdale Ave, Manistee, MI 49660-9709 · (231) 398-1675
- 14695 Park Ave Ste B, Charlevoix, MI 49720-1920 · (231) 547-8905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704340839 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | AG03200051 (MI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704340839 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1740819499
Stacy Moniz, AGNP-C's National Provider Identifier is 1740819499, issued on Apr 5, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cadillac, MI. The record was last updated on Oct 25, 2021.