June Ann Stefanko, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704243451 Issued in MI

Practice address

9249 W Lake City Rd
Houghton Lake, MI 48629-9602

Phone

(989) 422-5122

Fax

(989) 422-4378

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1073579546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 W LAKE CITY RD",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486299602",
            "telephone_number": "989-422-5122",
            "fax_number": "989-422-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 W LAKE CITY RD",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486299602",
            "telephone_number": "989-422-5122",
            "fax_number": "989-422-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANKO",
        "first_name": "JUNE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704243451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4872988",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Shudark
• Rachel Simpson, RN
• Lauren Elizabeth Skarnulis, O.D.
• Ruth N Spalding, LMSW
• Timothy St John, DPM
• C J Strausbaugh, PA
• Gregory Stuck, D.C.
• Donald Lenard Sylvester, A.C.M.T.
• Summer Elise Tambs, LMSW-CLINICAL
• Angela Dawn Taylor, LLBSW

• Family Nurse Practitioner in Houghton Lake, MI
• Providers in Houghton Lake, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.