Individual provider · Type 1 NPI

Kacie Stoll

Nurse Practitioner · Clinton Township, MI

NPI number 1770099079 Active

Practice location

43900 Garfield Rd Ste 100
Clinton Township, MI 48038-1137

Mailing address

4621 Forest Ave
Waterford, MI 48328-1117

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704309495 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1770099079

Kacie Stoll's National Provider Identifier is 1770099079, issued on Dec 21, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton Township, MI. The record was last updated on Dec 21, 2017.