MRS. STACIE DAWN VANDERVER (NPI# 1790019222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790019222 |
| Entity Type | Individual |
| Full Name | MRS. STACIE DAWN VANDERVER |
| Practice Address |
2850 S Industrial Hwy Spc 5758 Ann Arbor MI 48104-6796 |
| Practice Telephone | 7344777298 |
| Practice Fax Number | 7349982369 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
4704254099 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 46848699 | 05 |
| Street Address |
2850 S INDUSTRIAL HWY SPC 5758 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-6796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396275582 | Ashley Marie Thibodeau | Registered Nurse | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2017-06-19 |
| 1205228236 | Danielle Hartwig | Registered Nurse | 2850 S Industrial Hwy Ste 75, Ann Arbor, MI 48104-6796 | 2015-02-27 |
| 1093948739 | Toni Loretta Albaugh | Registered Nurse | 2850 S Industrial Hwy Ste 75, Ann Arbor, MI 48104-6796 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380081 | Kaitlin Kraus | Registered Nurse | 4268 Oak River Ct Ne, Grand Rapids, MI 49525-9330 | 2020-06-10 |
| 1104333111 | Sarah Marie Hooper | Registered Nurse | 7373w Riverview Dr, Manistique, MI 49854-8801 | 2017-12-29 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1972934990 | Tara Owens | Registered Nurse | 5206 Spinning Wheel Dr, Grand Blanc, MI 48439-4228 | 2013-12-01 |
| 1467770412 | Laurie Lynn Sweet | Registered Nurse | 43097 Woodward Ave Ste 201, Bloomfield Hills, MI 48302-5043 | 2010-05-13 |
| 1053584466 | Cathleen Margaret Mccartney Rancourt | Registered Nurse | 2703 Dean Lake Ave Ne, Grand Rapids, MI 49505-3958 | 2008-04-07 |
| 1518915578 | Carolyn Lacourse | Registered Nurse | 7866 Hidale Dr, Pinckney, MI 48169-9239 | 2006-05-04 |
| 1942826185 | Natalie Morello | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-06-23 |
| 1932725421 | Michelle Timmerman | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-06-19 |
| 1902422652 | Tulani Dismuke | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. STACIE DAWN VANDERVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.