Stacey Renae Couch
NPI #1215690458 in Southfield, Michigan
Provider Information
- NPI Number
- 1215690458
- Entity Type
- Individual
- Name
- Stacey Renae Couch
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Jan 9, 2024
Practice Location
- Address
- 18591 W 10 MILE RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-2619
- Phone
- (248) 621-9443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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