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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704279024 (MI)
Family Nurse Practitioner 363LF0000XCOA.17942-NP (OH)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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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.