Individual provider · Type 1 NPI
Kelly Stasa, CNP
Family Nurse Practitioner · Blissfield, MI
NPI number
1912378134
Active
Practice location
157 W Brooke Ln
Blissfield, MI 49228-8601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704279024 (MI) |
| Family Nurse Practitioner | 363LF0000X | COA.17942-NP (OH) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Blissfield
About NPI 1912378134
Kelly Stasa, CNP's National Provider Identifier is 1912378134, issued on Oct 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blissfield, MI. The record was last updated on May 20, 2026.