IndividualActive
Stacy Gardner, NNP-BC
NPI 1801623806 · Critical Care Neonatal Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1801623806
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704310876NSA240SW (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3901 Beaubien St
Detroit, MI 48201-2119
Phone: (313) 966-8341
Fax: (313) 966-6121
Approximate (ZIP-level) locationGet directions
Mailing address
9792 Seavitt Dr
Allen Park, MI 48101-1293
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.