Individual provider · Type 1 NPI

Stacy Danielle Gardner, NNP-BC

Critical Care Neonatal Nurse Practitioner · Detroit, MI

NPI number 1801623806 Active

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Call (313) 966-8341 Map

Fax (313) 966-6121

Mailing address

9792 Seavitt Dr
Allen Park, MI 48101-1293

Specialties and licenses

Taxonomy	Code	License
Critical Care Neonatal Nurse Practitioner Primary	363LN0005X	4704310876NSA240SW (MI)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1801623806

Stacy Danielle Gardner, NNP-BC's National Provider Identifier is 1801623806, issued on Sep 16, 2024. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Detroit, MI. The record was last updated on Sep 16, 2024.