Barbra Stubli
Individual provider Active NPI Licensed Practical Nurse · Manitou Beach, MI
NPI 1801284609 · NPPES record last updated Jan 1, 2015
Key facts
- NPI
- 1801284609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703089285 (MI)
- Practice address
- 3155 Townley Hwy
Manitou Beach, MI 49253-9724 - Phone
- (517) 547-5263
- NPI assigned
- Dec 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703089285 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703089285 | MI | Yes |
Addresses
Primary practice location
3155 Townley Hwy
Manitou Beach, MI 49253-9724
Mailing address
3155 Townley Hwy
Manitou Beach, MI 49253-9724
Phone (517) 547-5263
Other providers in Manitou Beach, MI
All providers in Manitou Beach, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.