IndividualActive
Stacy Goldberg, MPH, RN, BSN
NPI 1235468927 · Nutrition Support Registered Nurse · Troy, MI
Provider details
- NPI number
- 1235468927
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Credential
- MPH, RN, BSN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704212928 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1627 W Big Beaver Rd
Troy, MI 48084-3501
Phone: (248) 563-2920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 250042
West Bloomfield, MI 48325-0042
Registry dates
- Enumerated
- 2009-12-09
- Last updated
- 2009-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.