Individual provider · Type 1 NPI

Carolyn B. Stover, APRN-BC

Adult Health Nurse Practitioner · Detroit, MI

NPI number 1780782219 Active

Practice location

22151 Moross Rd, Pb 1, Suite 131
Detroit, MI 48236-2167

Call (313) 343-7785 Map

Fax (313) 343-4234

Mailing address

24722 Crocker Blvd
Harrison Township, MI 48045-1904

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	4704180950 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1780782219

Carolyn B. Stover, APRN-BC's National Provider Identifier is 1780782219, issued on Sep 20, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.